2014 – 2015
Florida Department of Education
Curriculum Framework 

Program Title:	Emergency Medical Technician -ATD
Program Type:	ATD (Applied Technology Diploma)
Career Cluster:	Health Science

	CC	PSAV	
Program Number	N/A	W170208	
CIP Number	0351090403	0351090404	
Grade Level	Applied Technology Diploma (ATD)	30, 31	
Standard Length	11 credit hours	250 clock hours	
CTSO	HOSA: Future Health Professionals	HOSA: Future Health Professionals	
SOC Codes (all applicable) 	29-2041  Emergency Medical Technicians and Paramedics
31-9099  Healthcare Support Workers, All Other	29-2041  Emergency Medical Technicians and Paramedics
31-9099  Healthcare Support Workers, All Other	
Targeted Occupation List	http://www.labormarketinfo.com/wec/TargetOccupationList.htm	
Perkins Technical Skill Attainment Inventory	http://www.fldoe.org/workforce/perkins/perkins_resources.asp 	
Basic Skills Level:	N/A	

Purpose

This program offers a sequence of courses that provides coherent and rigorous content aligned with challenging academic standards and relevant technical knowledge and skills needed to prepare for further education and careers in the Health Science career cluster; provides technical skill proficiency, and includes competency-based applied learning that contributes to the academic knowledge, higher-order reasoning and problem-solving skills, work attitudes, general employability skills, technical skills, and occupation-specific skills, and knowledge of all aspects of Health Science career cluster.
 
This is an instructional program that prepares students for employment as emergency medical technicians SOC Code 29-2041 (Emergency Medical Technicians and Paramedics) to function at the basic pre-hospital emergency medical technician level and treat various medical/trauma conditions using appropriate equipment and materials.  The program prepares students for certification as EMT's in accordance with Chapter 64J of the Florida Administrative Code.  The program must be approved by the Department of Health, Office of Emergency Medical Services, and the curriculum must adhere to the US Department of Transportation (DOT) National EMS Education Standards for EMT.  This is the initial level for a career in emergency medical services and the primary prerequisite for paramedic training and certification.

The content includes but is not limited to patient assessment, airway management, cardiac arrest, external and internal bleeding and shock, traumatic injuries, fractures, dislocations, sprains, poisoning, heart attack, stroke, diabetes, acute abdomen, communicable diseases, patients with abnormal behavior, alcohol and drug abuse, the unconscious state, emergency childbirth, burns, environmental hazards, communications, reporting, extrication and transportation of patient.  The student must be proficient in patient assessment and evaluation, the use of suctioning devices, oral and nasal airways, resuscitation devices, oxygen equipment, sphygmomanometer and stethoscope, splints of all types, pneumatic anti-shock garments, extrication tools, dressings and bandages, stretchers and patient carrying devices.

Additional Information relevant to this Career and Technical Education (CTE) program is provided at the end of this document.

Program Structure

This program is an Applied Technology Diploma (ATD) program that is part of a technical degree program, is less than 60 credit hours, and leads to employment in a specific occupation.  An ATD program may consist of either technical credit or college credit.  A public school district may offer an ATD program only as technical credit, with college credit awarded to a student upon articulation to a community college.

PSAV Program

When offered at the district level, this program is a planned sequence of instruction consisting of 2 occupational completion points and the courses as shown below. 

OCP	Course Number	Course Title	Length	SOC Code	
A	HSC0003	Basic Healthcare Worker	90 hours	31-9099	
B	EMS0159	Emergency Medical Technician  	160 hours	29-2041	

College Credit

When offered at the community college level, this ATD program is part of the Emergency Medical Services (1351090402/0351090402) and has a program length of 11 credits.

Standards

After successfully completing this program, the student will be able to perform the following:

01.0	Demonstrate knowledge of the health care delivery system and health occupations.
02.0	Demonstrate the ability to communicate and use interpersonal skills effectively.
03.0	Demonstrate legal and ethical responsibilities.
04.0	Demonstrate an understanding of and apply wellness and disease concepts.
05.0	Recognize and practice safety and security procedures.
06.0	Recognize and respond to emergency situations.
07.0	Recognize and practice infection control procedures.
08.0	Demonstrate an understanding of information technology applications in healthcare.
09.0	Demonstrate employability skills.
10.0	Demonstrate knowledge of blood borne diseases, including HIV/AIDS.
11.0	Apply basic math and science skills. 
12.0	Apply fundamental knowledge of the anatomy and physiology of all human body systems to the practice of EMS. 
13.0	Apply fundamental knowledge of life span development to patient assessment and management.  
14.0	Describe the history and evolution of the EMS system. 
15.0	Discuss and explain the roles, responsibilities & professionalism of EMS Personnel.
16.0	Discuss the significance of using the correct safety precautions to ensure the safety of the patient, the EMT and the EMS team. 
17.0	Discuss stress management techniques useful for both the EMT and the patient.
18.0	Discuss the procedures to safely lift and move patients of various age groups and situations (emergency, urgent and non-urgent moves). 
19.0	Discuss and apply knowledge of disease transmission to the overall safety and wellness of the EMS team (taught to the level described in FS 401.2701).
20.0	Describe the principles of medical documentation and report writing.
21.0	Describe the components of the EMS Communication system. 
22.0	Describe the significance of communication techniques for the EMT. 
23.0	Discuss the medical, legal and ethical issues to the provision of emergency care. 
24.0	Discuss the principles of pharmacology as they are related to emergency care. 
25.0	Discuss and demonstrate scene size up and management in an emergency situation. 
26.0	Discuss and demonstrate primary patient assessment procedures for all patient age levels. 
27.0	Discuss and demonstrate the procedures for taking the history of a patient.
28.0	Discuss and demonstrate secondary patient assessment procedures for all patient age levels. 
29.0	Describe the significance of monitoring devices in patient assessment. 
30.0	Discuss the components and factors of reassessment and its significance in patient assessment. 
31.0	Demonstrate an understanding and proficiency in Airway Management techniques. 
32.0	Demonstrate an understanding and proficiency in Respiration techniques.
33.0	Demonstrate an understanding and proficiency in Artificial Ventilation techniques.
34.0	Apply a fundamental knowledge of the causes, pathophysiology and management of shock and the components of resuscitation.
35.0	Apply knowledge to provide care for patients with a neurological emergency. 
36.0	Apply knowledge to provide care for patients with an Abdominal/Gastrointestinal emergency. 
37.0	Apply knowledge to provide care for patients with an Immunologic emergency.
38.0	Apply knowledge to provide care for a patient experiencing an infectious disease. 
39.0	Apply knowledge to provide care for a patient with an endocrine disorder. 
40.0	Apply knowledge to provide care for a patient with a psychiatric emergency.
41.0	Apply knowledge to provide care for patients with a cardiovascular emergency.
42.0	Apply Knowledge of toxicology to provide care for a patient with a poisoning or overdose emergency. 
43.0	Apply knowledge to provide care for a patient with a respiratory emergency.
44.0	Apply knowledge of Hematology to provide care for patients with a clotting disorder or are experiencing a sickle cell disease crisis. 
45.0	Apply knowledge to provide care for a patient with a genitourinary/renal emergency. 
46.0	Apply knowledge to provide care for a patient with a gynecologic emergency.
47.0	Apply knowledge to provide care for a patient with a Non-Traumatic Musculoskeletal emergency. 
48.0	Describe an overview of the identification, categorization, pathophysiology and assessment of a trauma patient. 
49.0	Demonstrate an understanding and the skills required for the management of a patient with traumatic bleeding. 
50.0	Demonstrate an understanding and the skills required for the management of a patient with a chest trauma.
51.0	Demonstrate an understanding and the skills required for the management of a patient with an abdominal/genitourinary trauma. 
52.0	Demonstrate an understanding and the skills required for the management of a patient with an orthopedic trauma. 
53.0	Demonstrate an understanding and the skills required for the management of a patient with a soft tissue trauma. 
54.0	Demonstrate an understanding and the skills required for the management of a patient with a head, facial, or neck (non-spinal) trauma. 
55.0	Demonstrate an understanding and the skills required for the management of a patient with a nervous system trauma.
56.0	Demonstrate an understanding of the special considerations for the management of a patient experiencing a trauma during pregnancy. 
57.0	Demonstrate an understanding of the special considerations for the management of the pediatric patient experiencing a trauma.
58.0	Demonstrate an understanding of the special considerations for the management of the geriatric patient experiencing a trauma.
59.0	Demonstrate an understanding of the special considerations for the management of the cognitively impaired patient experiencing a trauma.
60.0	Discuss and demonstrate how to assess and manage environmental trauma emergencies. 
61.0	Define and articulate the kinematics of trauma. 
62.0	Describe the components and procedures of a multi-system trauma. 
63.0	Apply knowledge of growth development, aging and assessment to the obstetric and neonatal populations. 
64.0	Apply knowledge of growth development, aging and assessment to the pediatric population. 
65.0	Apply knowledge of growth development, aging and assessment to the geriatric population. 
66.0	Apply knowledge of growth development, aging and assessment to patients with special challenges.
67.0	Discuss and demonstrate the principles of safely operating a ground ambulance. 
68.0	Discuss an overview of EMS operations during a multiples casualty incident.
69.0	Demonstrate knowledge and procedures involved in safely operating in and around an air medical operations landing zone. 
70.0	Discuss correct procedures of extrication to ensure EMS personnel and patient safety during extrication operations. 
71.0	Discuss the risks and responsibilities of operating during a terrorism event or during a natural or man-made disaster. 

2014 – 2015
Florida Department of Education
Student Performance Standards

Program Title:	Emergency Medical Technician 
PSAV Number:	W170208

When this program is offered at the PSAV level, the following organization of courses, standards, and benchmarks apply.

PSAV Course Number:  HSC0003
Occupational Completion Point:  A 
Basic Healthcare Worker – 90 Hours – SOC Code 31-9099	
01.0	Demonstrate knowledge of the health care delivery system and health occupations–The student will be able to:	
01.01	Identify the basic components of the health care delivery system including public, private, government and non-profit.	
01.02	Identify common methods of payment for healthcare services.	
01.03	Describe the various types of healthcare providers and the range of services available including resources to victims of domestic violence. 	
01.04	Describe the composition and functions of a healthcare team. 	
01.05	Identify the general roles and responsibilities of the individual members of the healthcare team. 	
01.06	Identify the roles and responsibilities of the consumer within the healthcare delivery system. 	
01.07	Identify characteristics of effective teams. 	
01.08	Recognize methods for building positive team relationships.	
01.09	Analyze attributes and attitudes of an effective leader. 	
01.10	Recognize factors and situations that may lead to conflict.	
01.11	Demonstrate effective techniques for managing team conflict. 	
01.12	Describe factors that influence the current delivery system of healthcare.	
01.13	Explain the impact of emerging issues including technology, epidemiology, bioethics and socioeconomics on healthcare delivery systems. 	
02.0	Demonstrate the ability to communicate and use interpersonal skills effectively–The student will be able to:	
02.01	Develop basic speaking and active listening skills.	
02.02	Develop basic observational skills and related documentation strategies in written and oral form.	
02.03	Identify characteristics of successful and unsuccessful communication including communication styles and barriers. 	
02.04	Respond to verbal and non-verbal cues. 	
02.05	Compose written communication using correct spelling, grammar, a formatting and confidentiality and specific formats of letter writing.	
02.06	Use appropriate medical terminology and abbreviations. 	
02.07	Recognize the importance of courtesy and respect for patients and other healthcare workers and maintain good interpersonal relationships. 	
02.08	Recognize the importance of patient/client educations regarding healthcare. 	
02.09	Adapt communication skills to varied levels of understanding and cultural orientation including diverse age, cultural, economic, ethnic and religious groups. 	
02.10	Analyze elements of communication using a sender-receiver model.	
02.11	Distinguish between and report subjective and objective information. 	
02.12	Report relevant information in order of occurrence. 	
03.0	Demonstrate legal and ethical responsibilities–The student will be able to:	
03.01	Discuss the legal framework of the healthcare occupations including scope of practice legislation.	
03.02	Explain practices that could result in malpractice, liability, negligence, abandonment, false imprisonment and fraud. 	
03.03	Demonstrate procedures for accurate documentation and record keeping. 	
03.04	Interpret healthcare facility policy and procedures. 	
03.05	Explain the “Patient’s Bill of Rights”.	
03.06	Identify standards of the Health insurance Portability and Accountability Act (HIPAA).	
03.07	Describe advance directives. 	
03.08	Describe informed consent. 	
03.09	Explain the laws governing harassment, labor and employment. 	
03.10	Differentiate between legal and ethical issues in healthcare.	
03.11	Describe a code of ethics consistent with the healthcare occupation. 	
03.12	Identify and compare personal, professional, and organizational ethics. 	
03.13	Recognize the limits of authority and responsibility of health care workers including legislated scope of practice 	
03.14	Recognize and report illegal and/or unethical practices of healthcare workers. 	
03.15	Recognize and report abuse including domestic violence and neglect. 	
03.16	Distinguish among the five schedules of controlled substances.	
04.0	Demonstrate an understanding of and apply wellness and disease concepts–The student will be able to:	
04.01	Describe strategies for prevention of diseases including health screenings and examinations. 	
04.02	Identify personal health practices and environmental factors which affect optimal function of each of the major body systems.	
04.03	Identify psychological reactions to illness including defense mechanisms. 	
04.04	Identify complementary and alternative health practices. 	
04.05	Discuss the adverse effects of the use of alcohol, tobacco, and both legal and illegal drugs on the human body and apply safety practices related to these and other high risk behaviors. 	
04.06	Explain the basic concepts of positive self image, wellness and stress. 	
04.07	Develop a wellness and stress control plan that can be used in personal and professional life. 	
04.08	Explore and utilize the U.S. Department of Agriculture’s MyPlate food guide (www.choosemyplate.gov).	
04.09	Recognize the steps in the grief process. 	
05.0	Recognize and practice safety and security procedures–The student will be able to:	
05.01	Recognize safe and unsafe working conditions and report safety hazards. 	
05.02	Demonstrate the safe use of medical equipment.	
05.03	Explain and apply the theory of root- cause analysis.  	
05.04	Identify and describe methods in medical error reduction and prevention in the various healthcare settings. 	
05.05	Identify and practice security procedures for medical supplies and equipment. 	
05.06	Demonstrate personal safety procedures based on Occupations Safety and Health Administration (OSHA) and Centers for Disease Control (CDC) regulations (including standard precautions). 	
05.07	Recognize Materials Data Safety Sheets (MSDS) and comply with safety signs, symbols and labels. 	
05.08	Demonstrate proper body mechanics and ergonomics. 	
05.09	Demonstrate the procedure for properly identifying patients. 	
05.10	Demonstrate procedures for the safe transport and transfer of patients. 	
05.11	Describe fire, safety, disaster and evacuations procedures. 	
05.12	Discuss The Joint Commission patient safety goals (www.jointcommission.org). 	
06.0	Recognize and respond to emergency situations–The student will be able to:	
06.01	Monitor and record vital signs.	
06.02	Describe legal parameters relating to the administration of emergency care. 	
06.03	Obtain and maintain training or certification on cardiopulmonary resuscitation (CPR), automated external defibrillator (AED), foreign body airway obstruction (FBAO) and first aid. 	
06.04	Recognize adverse drug related emergencies and take appropriate first aid action. 	
07.0	Recognize and practice infection control procedures–The student will be able to:	
07.01	Define principles of infection control including standard and transmission based precautions.	
07.02	Demonstrate knowledge of medical asepsis and practice procedures such as hand-washing and isolation. 	
07.03	Demonstrate knowledge of surgical asepsis. 	
07.04	Describe how to dispose correctly of biohazardous materials according to appropriate government guidelines such as OSHA. 	
08.0	Demonstrate an understanding of information technology applications in healthcare–The student will be able to:	
08.01	Describe technology applications in healthcare. 	
08.02	Define terms and demonstrate basic computer skills. 	
08.03	Recognize technology applications in healthcare. 	
08.04	Interpret information from electronic medical documents. 	
08.05	Identify methods of communication to access and distribute data such as fax, e-mail and internet. 	
09.0	Demonstrate employability skills–The student will be able to:	
09.01	Identify personal traits or attitudes desirable in a member of the healthcare team. 	
09.02	Exemplify basic professional standards of healthcare workers as they apply to hygiene, dress, language, confidentiality and behavior (i.e. telephone etiquette, courtesy and self-introductions). 	
09.03	Identify documents that may be required when applying for a job. 	
09.04	Write an appropriate resume. 	
09.05	Conduct a job search. 	
09.06	Complete a job application form correctly.	
09.07	Examine levels of education, credentialing requirements including licensure and certification, employment opportunities, workplace environments and career growth potential. 	
09.08	Recognize levels of education, credentialing requirements, employment opportunities, workplace environments and career growth potential. 	
09.09	Identify acceptable work habits. 	
09.10	Recognize appropriate affective/professional behavior. 	
09.11	Compare careers within the health science career pathways (diagnostic services, therapeutic services, health informatics, support services or biotechnology research and development). 	
10.0	Demonstrate knowledge of blood borne diseases, including HIV/AIDS–The student will be able to:	
10.01	Recognize emerging diseases and disorders.	
10.02	Distinguish between fact and fallacy about the transmission and treatment of diseases caused by blood borne pathogens including Hepatitis B.	
10.03	Identify community resources and services available to the individuals with diseases caused by blood borne pathogens.	
10.04	Identify "at risk" behaviors which promote the spread of diseases caused by blood borne pathogens and the public education necessary to combat the spread of these diseases.	
10.05	Apply infection control techniques designed to prevent the spread of diseases caused by blood borne pathogens to the care of all patients following Centers for Disease Control (CDC) guidelines.	
10.06	Demonstrate knowledge of the legal aspects of HIV/AIDS, including testing.	
11.0	Apply basic math and science skills–The student will be able to:	
11.01	Draw, read, and report on graphs, charts and tables.	
11.02	Measure time, temperature, distance, capacity, and mass/weight.	
11.03	Make, use and convert using both traditional and metric units. 	
11.04	Make estimations and approximations and judge the reasonableness of the result.	
11.05	Convert from regular to 24 hour time.	
11.06	Demonstrate ability to evaluate and draw conclusions.	
11.07	Organize and communicate the results obtained by observation and experimentation.	
11.08	Ask appropriate scientific questions and recognize what is involved in experimental approaches to the solution of such questions.	
11.09	Calculate ratios.	

PSAV Course Number:  EMS0159
Occupational Completion Point:  B
Emergency Medical Technician – 160 Hours – SOC Code 29-2041 	
12.0	Apply fundamental knowledge of the anatomy and physiology of all human body systems to the practice of EMS – The students will be able to: 	
12.01	Label the following topographic terms:  Medial, lateral, proximal, distal, superior, inferior, anterior, posterior, midline, right and left, mid-clavicular, bilateral, mid-axillary.	
12.02	Describe& identify the anatomy and function of the following major body systems:  Respiratory, circulatory, musculoskeletal, nervous, integumentary, digestive, urinary, genital and endocrine.	
12.03	Define the medical terminology & medical terms associated with the EMT level. 	
12.04	Define Pathophysiology.	
12.05	Chart the life support chain, aerobic metabolism and anaerobic metabolism.	
13.0	Apply fundamental knowledge of life span development to patient assessment and management. – The students will be able to:	
13.01	Understand the terms used to designate the following stages of life: infants, toddlers, preschoolers, school-age children, adolescents (teenagers), early adults, middle adults & late adults.	
13.02	Describe the major physiologic & psychosocial characteristics of:	
13.02.01	An infant’s life	
13.02.02	A toddler and preschooler’s life	
13.02.03	A school age child’s life	
13.02.04	An adolescent’s life	
13.02.05	An early adults life	
13.02.06	A middle adult’s life	
13.02.07	A late adult’s life	
14.0	Describe the history and evolution of the EMS system. – The students will be able to:	
14.01	Define Emergency Medical Services (EMS) systems.	
14.02	Discuss the historical background of the development of the EMS system.	
14.03	Identify the four levels of national EMS providers (EMR, EMT, AEMT & PM) as well as the three levels in the State of Florida.	
14.04	State the specific statutes and regulations regarding the EMS system in Florida.	
15.0	Discuss and explain the roles, responsibilities & professionalism of EMS Personnel – The students will be able to:  	
15.01	Discuss vehicle & equipment readiness	
15.02	Characterize the EMS system’s role in prevention and public education.	
15.03	Discuss the roles and responsibilities of the EMT related to personal safety of the crew, patient and by standers.  	
15.04	Discuss the roles and responsibilities of the EMT to operate emergency vehicles, provide scene leadership and perform patient assessment and administer emergency care. 	
15.05	Discuss the maintenance of certification & licensure for the EMT in the State of Florida and NREMT.	
15.06	Define quality improvement and discuss the EMT’s role in the process.	
15.07	Discuss EMS research & evidence based decision making.	
16.0	Discuss the significance of using the correct safety precautions to ensure the safety of the patient, the EMT and the EMS team. – The students will be able to:  	
16.01	Explain the need to determine scene safety.	
16.02	Discuss the importance of body substance isolation (BSI).	
16.03	Describe the steps the EMT should take for personal protection from airborne and blood borne pathogens as well as communicable disease.	
16.04	List the personal protective equipment necessary to protect oneself in common emergency situations. 	
17.0	Discuss stress management techniques useful for both the EMT and the patient. – The students will be able to:	
17.01	List possible emotional reactions that an individual (EMT and EMT family, Patient and Patient family) may experience when faced with trauma, illness, death and dying.	
17.02	State the steps the EMT should take when approaching a family confronted with death and dying.	
17.03	Recognize the warning signs of personal stress and discuss the strategies EMTs can apply to manage it. 	
18.0	Discuss the procedures to safely lift and move patients of various age groups and situations (emergency, Urgent and non-urgent moves). – The students will be able to:  	
18.01	Demonstrate good body mechanics while using a stretcher and other patient moving devices. 	
18.02	Discuss the guidelines and safety precautions that need to be followed when lifting a patient.	
18.03	Describe the guidelines and safety precautions for carrying patients and/or equipment.	
18.04	State the guidelines for reaching and their application.	
18.05	State the guidelines for pushing and pulling.	
18.06	Discuss patient positioning in common emergency situations.	
18.07	Discuss situation that may require the use of medical restraints on the patient & explain guidelines and safety consideration for their use.	
19.0	Discuss and apply knowledge of disease transmission to the overall safety and wellness of the EMS team(taught to the level described in FS 401.2701) – The students will be able to:  	
19.01	Define “infectious disease” and “communicable disease.”	
19.02	Describe the routes of transmission for infectious disease.	
19.03	Explain the mode of transmission and the steps to prevent/deal with an exposure of hepatitis, meningitis, tuberculosis & HIV.	
19.04	Explain how immunity to infectious diseases is acquired.	
19.05	Explain post exposure management of exposure to patient blood or body fluids, including completing a post exposure report.	
19.06	Describe the components of  physical fitness & mental wellbeing  	
20.0	Describe the principles of medical documentation and report writing. – The students will be able to:  	
20.01	Describe the use of written communication and documentation.	
20.02	Explain the legal implication of the patient care report.	
20.03	Identify the minimum dataset reference patient information and administrative information on the patient care report.	
20.04	Understand how to document refusal of care, including legal implications.	
21.0	Describe the components of the EMS Communication system. – The students will be able to:  	
21.01	Understand the basic principles of the  various types of communications equipment used in EMS	
21.02	Describe the use of radio communication and correct radio procedures, including the proper methods of initiating and terminating the radio call/transmission	
21.03	State the proper procedures and sequence for delivery of patient information to other healthcare professionals.	
21.04	Identify the essential components of the verbal report and legal aspects that need to be considered. 	
22.0	Describe the significance of communication techniques for the EMT. – The students will be able to:  	
22.01	Describe principles of therapeutic and effective communication with patients in a manner that achieves a positive relationship. 	
22.02	Discuss adjusting communication strategies to effectively communicate to differing age groups, developmental stages, patients with special needs, and differing cultures, including language barriers. 	
22.03	Discuss the communication techniques that should be used to interact with the patient, patient family, bystanders, and individuals from other agencies including verbal diffusion and interview techniques.	
23.0	Discuss the medical, legal and ethical issues to the provision of emergency care. – The students will be able to:  	
23.01	Differentiate between expressed, implied  and involuntary consent 	
23.02	Discuss the methods of obtaining consent and procedures for minors. 	
23.03	Discuss the issues of abandonment, negligence, false imprisonment and battery and their implications to the EMT.	
23.04	Discuss the implications for the EMT in patient refusal of care and/or transport.	
23.05	Explain the importance, necessity and legality of patient confidentiality.	
23.06	Discuss the importance of Do Not Resuscitate [DNR] (advance directives) and local or Florida provisions regarding EMS application.	
23.07	Discuss State of Florida & Federal special reporting situations such as abuse, sexual assault, gunshots & knife wounds, communicable disease, etc	
23.08	Differentiate between civil tort & criminal actions	
23.09	List the elements of negligence and defenses/protections from liability.	
23.10	Discuss the role of the EMT at crime scenes and preservation of evidence.	
23.11	Define ethics & morality and discuss their implication for the EMT.	
24.0	Discuss the principles of pharmacology as they are related to emergency care. – The students will be able to:  	
24.01	Explain the “six rights” of medication administration and describe how each one related to EMS.	
24.02	Discuss the forms in which the medications may be found and provide examples of each and discuss how the form of a medication dictates its route of administration.	
24.03	Describe the difference between a generic medication name and trade name, and provide an example of each.	
24.04	Discuss the components and elements of a drug profile including, actions, contraindications, side effects, dose and route.	
24.05	Describe the role of medical direction in medication administration and explain the difference between direct orders (online) and standing orders (off-line).	
24.06	Give the generic and trade names, actions, indication, contraindications, routes of administration, side effects, interactions & doses of medications that may be administered by and EMT in an emergency as dictated by the State of Florida & local medical direction. 	
24.07	Demonstrate how to administer medication in the following routes; oral, sublingual and auto-injector. 	
25.0	Discuss and demonstrate scene size up and management in an emergency situation. – The students will be able to:  	
25.01	Recognize and describe hazards/potential hazards at the scene.	
25.02	Determine if the scene is safe to enter.	
25.03	Discuss common mechanisms of injury/nature of illness.	
25.04	Discuss the procedures for multiple-patient situations.	
25.05	Explain why it is important for the EMT to determine the need for additional or specialized resources. 	
25.06	List the minimum standard precautions that should be followed and PPE that should be worn at the emergency scene.	
26.0	Discuss and demonstrate primary patient assessment procedures for all patient age levels. – The students will be able to:  	
26.01	Summarize the elements of a general impression of the patient.	
26.02	Discuss & demonstrate methods of assessing altered mental status using assess for level of consciousness (AVPU).	
26.03	Discuss & demonstrate methods of assessing the airway and providing airway care.  	
26.04	Describe& demonstrate methods used for assessing if a patient is breathing	
26.05	Differentiate between a patient with adequate and inadequate breathing.	
26.06	Distinguish between methods of assessing breathing.	
26.07	Describe& demonstrate the methods used to obtain a pulse.	
26.08	Discuss & demonstrate the need for assessing the patient for external bleeding.	
26.09	Describe & demonstrate normal and abnormal findings when assessing skin color, temperature, moisture & capillary refill in the pediatric, adult and geriatric patient. 	
26.10	Explain the reason for & demonstrate prioritizing a patient for care and transport.	
27.0	Discuss and demonstrate the procedures for taking the history of a patient. – The students will be able to:  	
27.01	Discuss the process of taking a history, its key components and its relationship to the primary assessment process.	
27.02	Explain the importance of obtaining a SAMPLE & OPQRST history.	
27.03	Recognize and respond to the feelings patients experience during assessment.	
27.04	Describe examples of different techniques the EMT may use to obtain information from patients, family or bystanders during the history taking process.	
28.0	Discuss and demonstrate secondary patient assessment procedures for all patient age levels. – The students will be able to:  	
28.01	Describe the unique needs & demonstrate assessing an individual with a specific chief complaint with no known prior history. 	
28.02	Discuss the components of the physical exam and skills involved.	
28.03	Differentiate between the history and physical exam that are performed for responsive patients with no known prior history, responsive patients with a known prior history and unresponsive patients.	
29.0	Describe the significance of monitoring devices in patient assessment. – The students will be able to:  	
29.01	Explain and demonstrate the use and interpretation of pulse oximetry device readings.	
29.02	List normal blood pressure ranges for the pediatric, adult and geriatric patient.	
29.03	Demonstrate how to measure a blood pressure by palpation, auscultation and electronic devices while in the field. 	
30.0	Discuss the components and factors of reassessment and its significance in patient assessment. – The students will be able to:  	
30.01	Describe the components of the reassessment and demonstrate the skills involved.	
30.02	Discuss the reasons for repeating the initial assessment as part of the reassessment.	
30.03	Explain trending assessment components and its value to other health professionals who assume care of the patient.	
31.0	Demonstrate an understanding and proficiency in Airway Management techniques – The students will be able to:  	
31.01	Name & label the structures of the respiratory system	
31.02	State what care should be provided for a patient with or without adequate breathing.	
31.03	Describe & demonstrate the steps in performing the head-tilt chin-lift.	
31.04	Relate mechanism of injury to opening the airway.	
31.05	Describe & demonstrate the steps in performing the jaw thrust.	
31.06	Describe& demonstrate the techniques of suctioning and its importance. 	
32.0	Demonstrate an understanding and proficiency in Respiration techniques. – The students will be able to:  	
32.01	Describe the pulmonary ventilation process to include mechanics of ventilation & alveolar ventilation (tidal volumes, dead space, etc)	
32.02	Describe the oxygenation process	
32.03	Explain both external & internal respiration process	
32.04	Discuss the various pathophysiologies of the respiratory system.	
32.05	Describe how to assess for adequate and inadequate respiration, including the use of pulse oximetry.	
32.06	List the components, purpose, indications, contraindications, complications and procedures for oxygen delivery devices. 	
32.07	Demonstrate oxygen administration for the pediatric, adult and geriatric patient.	
32.08	Describe and demonstrate the steps in performing the skill of assisting ventilations in the conscious and unconscious patient in respiratory distress using a bag-valve-mask (BVM), and continuous positive airway pressure (CPAP). 	
33.0	Demonstrate an understanding and proficiency in Artificial Ventilation techniques. – The students will be able to:  	
33.01	Demonstrate how to insert an oropharyngeal (oral), a nasopharyngeal (nasal) airway and a supraglottic airway.	
33.02	Describe & demonstrate how to artificially ventilate a patient with a pocket mask.	
33.03	Describe& demonstrate the steps in performing the skill of artificially ventilating a patient with a BVM for one or two rescuers. 	
33.04	Describe & demonstrate the signs of adequate & inadequate artificial ventilation using the BVM.	
33.05	Describe & demonstrate the steps in artificially ventilating a patient with a manually triggered ventilation device. 	
33.06	Demonstrate how to artificially ventilate the pediatric, adult and geriatric patient.	
33.07	Describe & demonstrate how to perform the Sellick maneuver (cricoid pressure).	
33.08	Recognize the differences between normal and positive pressure ventilation. 	
34.0	Apply a fundamental knowledge of the causes, pathophysiology and management of shock and the components of resuscitation – The students will be able to:  	
34.01	Discuss withholding resuscitation if irreversible death is obvious or if a “DO Not Resuscitate” (DNR) is present. 	
34.02	Review the anatomy & physiology of the respiratory & cardiovascular systems	
34.03	Discuss, identify pathophysiologies & medical care for respiratory failure as well as respiratory and cardiac arrest.	
34.04	Explain the system components of CPR, the four links in the AHA chain of survival & how each one relates to maximizing the survival of the patient. 	
34.05	Show Provider (AHA guidelines) certification required prior to EMT program admission as per FS 401.27.	
34.06	Understand shock, including the pathophysiology, causes, and its signs and symptoms associated with the various types of shock. 	
34.07	Discuss patient assessment and steps to the emergency care of the patient with signs & symptoms of shock.	
34.08	Discuss and distinguish the variations & causes between the emergency medical care of the pediatric, adult and geriatric patient experiencing shock.	
35.0	Apply knowledge to provide care for patients with a neurological emergency. – The students will be able to: 	
35.01	Discuss & review the anatomy, physiology & pathophysiology of the brain & spinal cord	
35.02	Discuss & identify the causes of ischemic strokes, hemorrhagic strokes & transient ischemic attacks and their similarities & differences.	
35.03	Discuss & demonstrate how to use the stroke assessment tool accepted by the State of Florida to identify a stroke patient rapidly.  	
35.04	Define and differentiate generalize seizure, partial seizure & status epilepticus and list their possible causes.	
35.05	Describe & demonstrate the assessment & medical care of the pediatric, adult and geriatric patient with neurological emergencies. 	
36.0	Apply knowledge to provide care for patients with an Abdominal/Gastrointestinal emergency. – The students will be able to:  	
36.01	Discuss and review the basic anatomy physiology & pathophysiology of the gastrointestinal, genital & urinary systems.	
36.02	Define the term,” acute abdomen.”	
36.03	Identify the signs & symptoms, and common causes of an acute abdomen.	
36.04	Describe & demonstrate the assessment & medical care of the pediatric, adult and geriatric patient with gastrointestinal emergencies.	
37.0	Apply knowledge to provide care for patients with an Immunologic emergency. – The students will be able to:  	
37.01	Understand and define the terms allergic reaction and anaphylaxis	
37.02	Describe & demonstrate the emergency medical care of the pediatric, adult and geriatric patient experiencing an allergic reaction.	
37.03	State the generic and trade names, medication forms, dose, administration, action, and contraindications for the epinephrine auto-injector.	
37.04	Demonstrate the use of epinephrine auto-injector	
38.0	Apply knowledge to provide care for a patient experiencing an infectious disease. – The students will be able to:  	
38.01	List the causes of infectious diseases	
38.02	Describe & demonstrate the emergency medical care of the pediatric, adult and geriatric patient experiencing an infectious disease.	
38.03	Discuss mandatory notification to State or Federal agencies of various diseases.	
39.0	Apply knowledge to provide care for a patient with an endocrine disorder. – The students will be able to:  	
39.01	Review the anatomy, physiology & pathophysiology of the endocrine system and its main function in the body.	
39.02	Define diabetes (type I & II), Hypoglycemia, Hyperglycemia & diabetic ketoacidosis.	
39.03	Identify & demonstrate the steps in the emergency medical care of the patient taking diabetic medicine with an altered mental status and a history of diabetes.	
39.04	State the generic and trade names, medication forms, dose, administration, action, and contraindications for oral glucose. 	
39.05	Demonstrate the steps of using a glucometer device and administering oral glucose. 	
39.06	Distinguish between the emergency medical care of the pediatric, adult and geriatric patient experiencing a diabetic emergency.	
40.0	Apply knowledge to provide care for a patient with a psychiatric emergency. – The students will be able to:  	
40.01	Define behavior, psychiatric disorders & behavioral emergencies.	
40.02	Discuss the general factors that may cause an alteration in a patient's behavior. 	
40.03	Discuss the risk factors/signs or symptoms of various psychiatric emergencies. 	
40.04	Discuss special medical/legal considerations for managing behavioral emergencies to include Florida statues:	
40.04.01	Baker Act (FS 394.451)	
40.04.02	Marchman Act (FS 397.601 & FS 397.675)	
40.04.03	Emergency examination & treatment of incapacitated  (FS401.445)	
40.05	Distinguish between the emergency medical care of the pediatric, adult and geriatric patient experiencing a behavioral or psychiatric emergency.	
40.06	Demonstrate various techniques to safely restrain a patient with a behavioral problem.	
41.0	Apply knowledge to provide care for patients with a cardiovascular emergency. – The students will be able to:  	
41.01	Review the basic anatomy, physiology and pathophysiology of the cardiovascular system.	
41.02	Describe the anatomy, physiology, pathophysiology and demonstrate the assessment & management of :	
41.02.01	Angina pectoris	
41.02.02	Thromboembolism	
41.02.03	Myocardial infarction	
41.02.04	Hypertensive emergencies	
41.02.05	Aortic aneurysm/dissection	
41.02.06	Heart Failure 	
41.03	Demonstrate the ability to assess and treat a patient with signs and symptoms of cardiac issues, including airway, medication administration, position of comfort and life span considerations. 	
41.04	List the indications & contraindications for automated external defibrillation (AED).	
41.05	Explain the impact of age and weight on defibrillation.	
41.06	Discuss the position of comfort for patients with various cardiac emergencies.	
41.07	Explain the rationale for early defibrillation. 	
41.08	Explain that not all chest pain patients result in cardiac arrest and do not need to be attached to an automated external defibrillator.	
41.09	Discuss the various types of automated external defibrillators.	
41.10	Differentiate between the fully automated and the semi-automated defibrillator.	
41.11	Understand the importance of maintenance and operators check list for AED’s. 	
41.12	Demonstrate the ability to use an AED according to the latest American Heart Association (AHA) guidelines. 	
41.13	Explain the role medical direction plays in the use of automated external defibrillation.	
42.0	Apply knowledge of toxicology to provide care for a patient with a poisoning or overdose emergency. – The students will be able to:  	
42.01	Define toxicology, poisoning & overdose.	
42.02	List various ways that poisons enter the body.	
42.03	List signs/symptoms associated with poisoning.	
42.04	Discuss & demonstrate the emergency medical care for the pediatric, adult and geriatric patient with poisoning or overdose.	
42.05	State the generic and trade names, indications, contraindications, medication form, dose, administration, actions, side effects and re‑assessment strategies for activated charcoal.	
42.06	Perform the necessary steps required to provide a patient with activated charcoal.	
43.0	Apply knowledge to provide care for a patient with a respiratory emergency. – The students will be able to:  	
43.01	List the structure, function and pathophysiology of the respiratory system.	
43.02	List signs of adequate air exchange.	
43.03	State the signs and symptoms of a patient with respiratory distress.	
43.04	Describe & demonstrate the assessment & medical care of the pediatric, adult and geriatric patient with a respiratory emergency.	
43.05	State the generic name, medication forms, dose, administration, action, indications and contraindications for the metered-dose inhaler.	
43.06	Demonstrate the steps in facilitating the use of an inhaler.	
43.07	Differentiate between upper airway obstruction and lower airway disease in the pediatric, adult and geriatric patient.	
44.0	Apply knowledge of Hematology to provide care for patients with a clotting disorder or are experiencing a sickle cell disease crisis. – The students will be able to:  	
44.01	List the composition, physiology & pathophysiology of blood.	
44.02	State the signs and symptoms of a patient with a Sickle Cell crisis or a clotting disorder.	
44.03	Describe & demonstrate the emergency medical care of the patient with Sickle cell distress or clotting disorder.	
45.0	Apply knowledge to provide care for a patient with a genitourinary/renal emergency. – The students will be able to:  	
45.01	List the anatomy, physiology & pathophysiology of the renal system.	
45.02	Understand the principles of kidney dialysis.	
45.03	State the signs and symptoms of a patient with a dialysis emergency.	
45.04	Describe & demonstrate the emergency medical care of the patient with a dialysis emergency.	
46.0	Apply knowledge to provide care for a patient with a gynecologic emergency. – The students will be able to:  	
46.01	Describe the basic anatomy, physiology and pathophysiology of the female reproductive system.	
46.02	Distinguish between the emergency medical care of the pediatric, adult and geriatric patient experiencing a female reproductive system emergency.	
46.03	Explain the general management of a gynecologic emergency in relation to patient privacy and communication.	
46.04	Discuss the special consideration and precautions an EMT must observe when arriving at the scene of a suspected case of sexual assault or rape.	
47.0	Apply knowledge to provide care for a patient with a Non-Traumatic Musculoskeletal emergency. – The students will be able to:  	
47.01	Describe the basic anatomy, physiology and pathophysiology of the skeletal system (i.e. cancer or osteoporosis).	
47.02	Describe & demonstrate the emergency medical care of the patient with a non-traumatic musculoskeletal emergency.	
48.0	Describe an overview of the identification, categorization, pathophysiology and assessment of a trauma patient. – The students will be able to:  	
48.01	Discuss and define pathophysiology of the trauma patient	
48.02	Discuss and demonstrate assessment and management of the trauma patient.	
48.03	Discuss and describe significant & non-significant Mechanism of Injury (MOI) & provide examples of each. 	
48.04	Discuss and describe State of Florida’s trauma scorecard methodologies as required in FS 401.2701 & 64J-2.004 & 2.005.	
48.05	Discuss the National Trauma Triage Protocol of injured Patients (http://cdc.gov/fieldtriage/ ) 	
49.0	Demonstrate an understanding and the skills required for the management of a patient with traumatic bleeding. – The students will be able to:  	
49.01	Review the anatomy & physiology of the circulatory system	
49.02	Differentiate between:	
49.02.01	 Internal and external bleeding.	
49.02.02	Arterial, venous and capillary bleeding.	
49.03	Explain and demonstrate emergency medical care of the patient with external & internal bleeding.	
49.04	List signs and symptoms of shock (hypo-perfusion).	
50.0	Demonstrate an understanding and the skills required for the management of a patient with a chest trauma. – The students will be able to:  	
50.01	Discuss MOI for chest injury (blunt & penetrating, energy & injury).	
50.02	List the anatomy, physiology & pathophysiology of the thoracic/chest cavity & respiratory system.	
50.03	Differentiate between a pneumothorax (open, simple & tension) & hemothorax. 	
50.04	Describe and demonstrate the assessment & management of a patient with a suspected chest (open and closed) injury.	
51.0	Demonstrate an understanding and the skills required for the management of a patient with an abdominal/genitourinary trauma. – The students will be able to:  	
51.01	Discuss MOI for abdominal injury (blunt & penetrating, energy & injury).	
51.02	List the anatomy, physiology & pathophysiology of the abdominal cavity & genitourinary (both male & female) system.	
51.03	Describe the abdominal quadrants 	
51.04	Describe the differences between hollow & solid organs.	
51.05	Describe and demonstrate the assessment & management of a patient with a suspected abdominal (penetrating or blunt) or genitourinary injury.	
51.06	Explain special consideration related to a patient who has experienced an injury by sexual assault/abuse.	
52.0	Demonstrate an understanding and the skills required for the management of a patient with an orthopedic trauma. – The students will be able to:  	
52.01	Discuss MOI for orthopedic injury (blunt & penetrating, energy & injury).	
52.02	Review the anatomy, physiology & pathophysiology of the musculoskeletal system.	
52.03	Describe the different types of musculoskeletal injuries including fractures, amputations, sprains, & strains.	
52.04	Differentiate between an open and a closed painful, swollen, deformed extremity.	
52.05	Describe and demonstrate the assessment & management of a patient with a suspected orthopedic injury.  	
53.0	Demonstrate an understanding and the skills required for the management of a patient with a soft tissue trauma. – The students will be able to:  	
53.01	Discuss & list the anatomy and physiology, to include the layers, of the skin.	
53.02	Discuss and list the types of open & closed soft tissue injury.	
53.03	Define and list characteristics of superficial, partial-thickness and full-thickness burns.	
53.04	Explain how the seriousness of a burn is related to its depth and extent (percent of body surface area (BSA) involved or rule of 9s) for adult & pediatric patient.	
53.05	Describe and demonstrate the assessment & management of a patient with a soft tissue injury. 	
54.0	Demonstrate an understanding and the skills required for the management of a patient with a head, facial, or neck (non-spinal) trauma. – The students will be able to:  	
54.01	List the anatomy, physiology & pathophysiology of the head, face, & neck.	
54.02	Discuss MOI for head, face, & neck (non-spinal) (blunt & penetrating, energy & injury).	
54.03	Describe and demonstrate the assessment & management of a patient with an injury to the head, face & neck (non-spinal). 	
55.0	Demonstrate an understanding and the skills required for the management of a patient with a nervous system trauma. – The students will be able to:  	
55.01	Review the anatomy, physiology & pathophysiology of the nervous system. 	
55.02	Explain functions of the somatic & autonomic nervous system	
55.03	Discuss MOI for head (brain) & spinal (blunt & penetrating, energy & injury).	
55.04	Discuss the different types of brain injuries and their corresponding signs and symptoms, including increased intracranial pressure (ICP), concussion, contusion & injuries caused my medical conditions.	
55.05	Describe and demonstrate the assessment & management of a patient with a head (brain) and spinal injury. 	
56.0	Demonstrate an understanding of the special considerations for the management of a patient experiencing a trauma during pregnancy. – The students will be able to:  	
56.01	Discuss Anatomy, physiology & pathophysiology of the pregnant trauma patient.	
56.02	Discuss MOI and fetal considerations for the pregnant trauma patient.	
56.03	Discuss & demonstrate unique injuries and conditions along with assessment & management for the pregnant patient involved in trauma.	
57.0	Demonstrate an understanding of the special considerations for the management of the pediatric patient experiencing a trauma. – The students will be able to:  	
57.01	Discuss Anatomy, physiology & pathophysiology of the pediatric trauma patient.	
57.02	Discuss & demonstrate unique assessment & management considerations for the pediatric trauma patient.	
58.0	Demonstrate an understanding of the special considerations for the management of the geriatric patient experiencing a trauma. – The students will be able to:  	
58.01	Discuss Anatomy, physiology & pathophysiology of the elderly trauma patient.	
58.02	Discuss & demonstrate unique assessment & management considerations for the elderly trauma patient.	
59.0	Demonstrate an understanding of the special considerations for the management of the cognitively impaired patient experiencing a trauma. – The students will be able to:  	
59.01	Discuss anatomy, physiology & pathophysiology of the cognitively impaired trauma patient.	
59.02	Discuss & demonstrate unique assessment & management considerations for the cognitively impaired trauma patient.	
60.0	Discuss and demonstrate how to assess and manage environmental trauma emergencies. – The students will be able to:  	
60.01	Define drowning and discuss its incidence, rick factors & prevention.	
60.02	List pathophysiologies of water related incidents 	
60.03	Describe submersion in salt and fresh water	
60.04	Discuss & demonstrate assessment & management considerations for a patient of a submersion incident.	
60.05	Describe the different types of diving emergencies and how they may occur.	
60.06	List pathophysiologies of dysbarism incidents to include high altitudes and diving incidents.	
60.07	Discuss & demonstrate assessment & management considerations for a patient of a dysbarism incident.	
60.08	Discuss & demonstrate assessment & management considerations for a patient of a lightning incident	
60.09	Explain the five ways a body can lose heat	
60.10	List pathophysiologies of temperature related incidents to include both cold and heat related illness. 	
60.11	Discuss & demonstrate assessment & management considerations for a patient of a temperature related illness 	
60.12	Identify the species of insects, spiders & snakes in the US that may cause life threatening injuries.	
60.13	Discuss & demonstrate assessment & management considerations for a patient of a bite or envenomation incident.	
61.0	 Define and articulate the kinematics of trauma. – The students will be able to:  	
61.01	Explain the relationship between mechanism of injury and potential energy, kinetic energy and work.	
61.02	Define term blunt & penetrating trauma and provide examples of the mechanism of injury (MOI) that would cause each to occur and include:	
61.02.01	Affects of high, medium & low velocity penetrating trauma	
61.02.02	Primary, secondary, tertiary and miscellaneous blast injuries	
61.02.03	Factors to consider of a patient injured in a fall	
61.02.04	Consider age (the pediatric, adult and geriatric patient)	
62.0	Describe the components and procedures of a multi-system trauma. – The students will be able to:  	
62.01	Describe and provide a general overview of multisystem trauma patient management.	
62.02	 Discuss the golden principle of out-of-hospital trauma care	
62.03	Discuss & demonstrate assessment & management considerations for a patient of multi system injuries.	
63.0	Apply knowledge of growth development, aging and assessment to the obstetric and neonatal populations. – The students will be able to:  	
63.01	Review the anatomy, physiology & pathophysiology of the female reproductive system.	
63.02	Explain the normal changes that occur during pregnancy.	
63.03	Differentiate between the stages of labor and delivery.	
63.04	Discuss & demonstrate assessment & management considerations of a pregnancy 	
63.05	Discuss assessment & management considerations of complications of pregnancy.	
63.06	Discuss & demonstrate assessment & management considerations of a neonate.	
64.0	Apply knowledge of growth development, aging and assessment to the pediatric population. – The students will be able to:  	
64.01	List the anatomy, physiology & pathophysiology of the pediatric patient.	
64.02	Describe the differences in anatomy when compared to the adult patient to 	
64.03	Discuss & demonstrate assessment & management considerations of a pediatric emergency. 	
64.04	 The most common causes of the following conditions in the pediatric patient.	
64.04.01	Shock	
64.04.02	Altered mental status and seizures	
64.04.03	Gastrointestinal emergencies 	
64.04.04	Poisonings	
64.04.05	Drowning	
64.04.06	Trauma 	
64.05	Discuss & demonstrate assessment & management considerations for Sudden Unexplained Infant Death Syndrome (SUIDS).	
65.0	Apply knowledge of growth development, aging and assessment to the geriatric population. – The students will be able to:  	
65.01	Define and discuss the term “geriatrics.”	
65.02	List the anatomy, physiology & pathophysiology of the Geriatric patient. 	
65.03	Discuss & demonstrate assessment & management considerations of a geriatric emergency.	
66.0	Apply knowledge of growth development, aging and assessment to patients with special challenges. – The students will be able to:  	
66.01	Define and discuss child and elder abuse and neglect and possible indicators of each.	
66.02	Discuss assessment & management considerations of a patient with special needs to include child and elder abuse and neglect, homelessness/poverty, etc.	
67.0	Discuss and demonstrate the principles of safely operating a ground ambulance. – The students will be able to:  	
67.01	Discuss the importance of performing regular vehicle & equipment inspection.	
67.02	Describe the general provisions of Florida laws relating to the operation of the ambulance and privileges.	
67.03	Discuss "Due Regard for Safety of All Others" while operating an emergency vehicle.	
67.04	Provide examples of some high risk situations and hazards that may affect the safety of the ambulance and its passengers during both pre-transport & transport.	
68.0	Discuss an overview of EMS operations during a multiples casualty incident. – The students will be able to:  	
68.01	Describe the specific condition that would define a mass-casualty incident (MCI) and give examples.	
68.02	Describe primary and secondary triage, how the four triage categories are assigned and how destination decisions are made.	
68.03	Describe how the techniques of triage are performed.	
68.04	Demonstrate how to perform a triage based scenario that involves an MCI.	
69.0	Demonstrate knowledge and procedures involved in safely operating in and around an air medical operations landing zone. – The students will be able to:  	
69.01	Discuss safe air medical operations	
69.02	Describe key scene safety considerations when preparing for a helicopter medivac, including establishing a landing zone and approaching the aircraft.	
69.03	Discuss the criteria for utilizing an air medial response	
70.0	Discuss correct procedures of extrication to ensure EMS personnel and patient safety during extrication operations. – The students will be able to:  	
70.01	Describe the role of the EMT in patient rescue & vehicle extrication	
70.02	Describe personal and patient safety during vehicle extrication. 	
70.03	Discuss the factors related to ensuring situational safety at the site of a vehicle extrication	
70.04	Explain the difference between simple access and complex access in vehicle extrication	
70.05	Discuss patient care consideration related to assisting with rapid extrication, providing emergency care to the trapped patient and removing and transferring a patient. 	
71.0	Discuss the risks and responsibilities of operating during a terrorism event or during a natural or man-made disaster. – The students will be able to:  	
71.01	Describe the role of the EMT on the scene of a natural or man-made disaster	
71.02	Define the term international terrorism & domestic terrorism and provide examples of incidents of each.	
71.03	Describe personal & patient safety during a natural or man-made disaster.	
71.04	Describe the factors related to ensuring situational safety at the site of a disaster and the procedures required.	

2014 – 2015
Florida Department of Education
Student Performance Standards

Program Title:	Emergency Medical Technician -ATD
ATD CIP Number:	0351090403
SOC Code(s):	29-2041

When this program is offered at the college level, the following standards and benchmarks apply:

This certificate program is part of the Emergency Medical Services AS degree program (1351090402).  At the completion of this program, the student will be able to:
	
01.0	Demonstrate knowledge of the health care delivery system and health occupations–The student will be able to:	
01.01	Identify the basic components of the health care delivery system including public, private, government and non-profit.	
01.02	Identify common methods of payment for healthcare services.	
01.03	Describe the various types of healthcare providers and the range of services available including resources to victims of domestic violence. 	
01.04	Describe the composition and functions of a healthcare team. 	
01.05	Identify the general roles and responsibilities of the individual members of the healthcare team. 	
01.06	Identify the roles and responsibilities of the consumer within the healthcare delivery system. 	
01.07	Identify characteristics of effective teams. 	
01.08	Recognize methods for building positive team relationships.	
01.09	Analyze attributes and attitudes of an effective leader. 	
01.10	Recognize factors and situations that may lead to conflict.	
01.11	Demonstrate effective techniques for managing team conflict. 	
01.12	Describe factors that influence the current delivery system of healthcare.	
01.13	Explain the impact of emerging issues including technology, epidemiology, bioethics and socioeconomics on healthcare delivery systems. 	
02.0	Demonstrate the ability to communicate and use interpersonal skills effectively–The student will be able to:	
02.01	Develop basic speaking and active listening skills.	
02.02	Develop basic observational skills and related documentation strategies in written and oral form.	
02.03	Identify characteristics of successful and unsuccessful communication including communication styles and barriers. 	
02.04	Respond to verbal and non-verbal cues. 	
02.05	Compose written communication using correct spelling, grammar, a formatting and confidentiality and specific formats of letter writing.	
02.06	Use appropriate medical terminology and abbreviations. 	
02.07	Recognize the importance of courtesy and respect for patients and other healthcare workers and maintain good interpersonal relationships. 	
02.08	Recognize the importance of patient/client educations regarding healthcare. 	
02.09	Adapt communication skills to varied levels of understanding and cultural orientation including diverse age, cultural, economic, ethnic and religious groups. 	
02.10	Analyze elements of communication using a sender-receiver model.	
02.11	Distinguish between and report subjective and objective information. 	
02.12	Report relevant information in order of occurrence. 	
03.0	Demonstrate legal and ethical responsibilities–The student will be able to:	
03.01	Discuss the legal framework of the healthcare occupations including scope of practice legislation.	
03.02	Explain practices that could result in malpractice, liability, negligence, abandonment, false imprisonment and fraud. 	
03.03	Demonstrate procedures for accurate documentation and record keeping. 	
03.04	Interpret healthcare facility policy and procedures. 	
03.05	Explain the “Patient’s Bill of Rights”.	
03.06	Identify standards of the Health insurance Portability and Accountability Act (HIPAA).	
03.07	Describe advance directives. 	
03.08	Describe informed consent. 	
03.09	Explain the laws governing harassment, labor and employment. 	
03.10	Differentiate between legal and ethical issues in healthcare.	
03.11	Describe a code of ethics consistent with the healthcare occupation. 	
03.12	Identify and compare personal, professional, and organizational ethics. 	
03.13	Recognize the limits of authority and responsibility of health care workers including legislated scope of practice 	
03.14	Recognize and report illegal and/or unethical practices of healthcare workers. 	
03.15	Recognize and report abuse including domestic violence and neglect. 	
03.16	Distinguish among the five schedules of controlled substances.	
04.0	Demonstrate an understanding of and apply wellness and disease concepts–The student will be able to:	
04.01	Describe strategies for prevention of diseases including health screenings and examinations. 	
04.02	Identify personal health practices and environmental factors which affect optimal function of each of the major body systems.	
04.03	Identify psychological reactions to illness including defense mechanisms. 	
04.04	Identify complementary and alternative health practices. 	
04.05	Discuss the adverse effects of the use of alcohol, tobacco, and both legal and illegal drugs on the human body and apply safety practices related to these and other high risk behaviors. 	
04.06	Explain the basic concepts of positive self image, wellness and stress. 	
04.07	Develop a wellness and stress control plan that can be used in personal and professional life. 	
04.08	Explore and utilize the U.S. Department of Agriculture’s MyPlate food guide (www.choosemyplate.gov).	
04.09	Recognize the steps in the grief process. 	
05.0	Recognize and practice safety and security procedures–The student will be able to:	
05.01	Recognize safe and unsafe working conditions and report safety hazards. 	
05.02	Demonstrate the safe use of medical equipment.	
05.03	Explain and apply the theory of root- cause analysis.  	
05.04	Identify and describe methods in medical error reduction and prevention in the various healthcare settings. 	
05.05	Identify and practice security procedures for medical supplies and equipment. 	
05.06	Demonstrate personal safety procedures based on Occupations Safety and Health Administration (OSHA) and Centers for Disease Control (CDC) regulations (including standard precautions). 	
05.07	Recognize Materials Data Safety Sheets (MSDS) and comply with safety signs, symbols and labels. 	
05.08	Demonstrate proper body mechanics and ergonomics. 	
05.09	Demonstrate the procedure for properly identifying patients. 	
05.10	Demonstrate procedures for the safe transport and transfer of patients. 	
05.11	Describe fire, safety, disaster and evacuations procedures. 	
05.12	Discuss The Joint Commission patient safety goals (www.jointcommission.org). 	
06.0	Recognize and respond to emergency situations–The student will be able to:	
06.01	Monitor and record vital signs.	
06.02	Describe legal parameters relating to the administration of emergency care. 	
06.03	Obtain and maintain training or certification on cardiopulmonary resuscitation (CPR), automated external defibrillator (AED), foreign body airway obstruction (FBAO) and first aid. 	
06.04	Recognize adverse drug related emergencies and take appropriate first aid action. 	
07.0	Recognize and practice infection control procedures–The student will be able to:	
07.01	Define principles of infection control including standard and transmission based precautions.	
07.02	Demonstrate knowledge of medical asepsis and practice procedures such as hand-washing and isolation. 	
07.03	Demonstrate knowledge of surgical asepsis. 	
07.04	Describe how to dispose correctly of biohazardous materials according to appropriate government guidelines such as OSHA. 	
08.0	Demonstrate an understanding of information technology applications in healthcare–The student will be able to:	
08.01	Describe technology applications in healthcare. 	
08.02	Define terms and demonstrate basic computer skills. 	
08.03	Recognize technology applications in healthcare. 	
08.04	Interpret information from electronic medical documents. 	
08.05	Identify methods of communication to access and distribute data such as fax, e-mail and internet. 	
09.0	Demonstrate employability skills–The student will be able to:	
09.01	Identify personal traits or attitudes desirable in a member of the healthcare team. 	
09.02	Exemplify basic professional standards of healthcare workers as they apply to hygiene, dress, language, confidentiality and behavior (i.e. telephone etiquette, courtesy and self-introductions). 	
09.03	Identify documents that may be required when applying for a job. 	
09.04	Write an appropriate resume. 	
09.05	Conduct a job search. 	
09.06	Complete a job application form correctly.	
09.07	Examine levels of education, credentialing requirements including licensure and certification, employment opportunities, workplace environments and career growth potential. 	
09.08	Recognize levels of education, credentialing requirements, employment opportunities, workplace environments and career growth potential. 	
09.09	Identify acceptable work habits. 	
09.10	Recognize appropriate affective/professional behavior. 	
09.11	Compare careers within the health science career pathways (diagnostic services, therapeutic services, health informatics, support services or biotechnology research and development). 	
10.0	Demonstrate knowledge of blood borne diseases, including HIV/AIDS–The student will be able to:	
10.01	Recognize emerging diseases and disorders.	
10.02	Distinguish between fact and fallacy about the transmission and treatment of diseases caused by blood borne pathogens including Hepatitis B.	
10.03	Identify community resources and services available to the individuals with diseases caused by blood borne pathogens.	
10.04	Identify "at risk" behaviors which promote the spread of diseases caused by blood borne pathogens and the public education necessary to combat the spread of these diseases.	
10.05	Apply infection control techniques designed to prevent the spread of diseases caused by blood borne pathogens to the care of all patients following Centers for Disease Control (CDC) guidelines.	
10.06	Demonstrate knowledge of the legal aspects of HIV/AIDS, including testing.	
11.0	Apply basic math and science skills–The student will be able to:	
11.01	Draw, read, and report on graphs, charts and tables.	
11.02	Measure time, temperature, distance, capacity, and mass/weight.	
11.03	Make, use and convert using both traditional and metric units. 	
11.04	Make estimations and approximations and judge the reasonableness of the result.	
11.05	Convert from regular to 24 hour time.	
11.06	Demonstrate ability to evaluate and draw conclusions.	
11.07	Organize and communicate the results obtained by observation and experimentation.	
11.08	Ask appropriate scientific questions and recognize what is involved in experimental approaches to the solution of such questions.	
11.09	Calculate ratios.	
Emergency Medical Technician:  Intended outcomes 12-71 complete the occupational exit of EMT.  The outcomes may be taught as one or more modules at the postsecondary level.	
12.0	Apply fundamental knowledge of the anatomy and physiology of all human body systems to the practice of EMS – The students will be able to: 	
12.01	Label the following topographic terms:  Medial, lateral, proximal, distal, superior, inferior, anterior, posterior, midline, right and left, mid-clavicular, bilateral, mid-axillary.	
12.02	Describe& identify the anatomy and function of the following major body systems:  Respiratory, circulatory, musculoskeletal, nervous, integumentary, digestive, urinary, genital and endocrine.	
12.03	Define the medical terminology & medical terms associated with the EMT level. 	
12.04	Define Pathophysiology.	
12.05	Chart the life support chain, aerobic metabolism and anaerobic metabolism.	
13.0	Apply fundamental knowledge of life span development to patient assessment and management. – The students will be able to:	
13.01	Understand the terms used to designate the following stages of life: infants, toddlers, preschoolers, school-age children, adolescents (teenagers), early adults, middle adults & late adults.	
13.02	Describe the major physiologic & psychosocial characteristics of:	
13.02.01	An infant’s life	
13.02.02	A toddler and preschooler’s life	
13.02.03	A school age child’s life	
13.02.04	An adolescent’s life	
13.02.05	An early adults life	
13.02.06	A middle adult’s life	
13.02.07	A late adult’s life	
14.0	Describe the history and evolution of the EMS system. – The students will be able to:	
14.01	Define Emergency Medical Services (EMS) systems.	
14.02	Discuss the historical background of the development of the EMS system.	
14.03	Identify the four levels of national EMS providers (EMR, EMT, AEMT & PM) as well as the three levels in the State of Florida.	
14.04	State the specific statutes and regulations regarding the EMS system in Florida.	
15.0	Discuss and explain the roles, responsibilities & professionalism of EMS Personnel – The students will be able to:  	
15.01	Discuss vehicle & equipment readiness	
15.02	Characterize the EMS system’s role in prevention and public education.	
15.03	Discuss the roles and responsibilities of the EMT related to personal safety of the crew, patient and by standers.  	
15.04	Discuss the roles and responsibilities of the EMT to operate emergency vehicles, provide scene leadership and perform patient assessment and administer emergency care. 	
15.05	Discuss the maintenance of certification & licensure for the EMT in the State of Florida and NREMT.	
15.06	Define quality improvement and discuss the EMT’s role in the process.	
15.07	Discuss EMS research & evidence based decision making.	
16.0	Discuss the significance of using the correct safety precautions to ensure the safety of the patient, the EMT and the EMS team. – The students will be able to:  	
16.01	Explain the need to determine scene safety.	
16.02	Discuss the importance of body substance isolation (BSI).	
16.03	Describe the steps the EMT should take for personal protection from airborne and blood borne pathogens as well as communicable disease.	
16.04	List the personal protective equipment necessary to protect oneself in common emergency situations. 	
17.0	Discuss stress management techniques useful for both the EMT and the patient. – The students will be able to:	
17.01	List possible emotional reactions that an individual (EMT and EMT family, Patient and Patient family) may experience when faced with trauma, illness, death and dying.	
17.02	State the steps the EMT should take when approaching a family confronted with death and dying.	
17.03	Recognize the warning signs of personal stress and discuss the strategies EMTs can apply to manage it. 	
18.0	Discuss the procedures to safely lift and move patients of various age groups and situations (emergency, Urgent and non-urgent moves). – The students will be able to:  	
18.01	Demonstrate good body mechanics while using a stretcher and other patient moving devices. 	
18.02	Discuss the guidelines and safety precautions that need to be followed when lifting a patient.	
18.03	Describe the guidelines and safety precautions for carrying patients and/or equipment.	
18.04	State the guidelines for reaching and their application.	
18.05	State the guidelines for pushing and pulling.	
18.06	Discuss patient positioning in common emergency situations.	
18.07	Discuss situation that may require the use of medical restraints on the patient & explain guidelines and safety consideration for their use.	
19.0	Discuss and apply knowledge of disease transmission to the overall safety and wellness of the EMS team(taught to the level described in FS 401.2701) – The students will be able to:  	
19.01	Define “infectious disease” and “communicable disease.”	
19.02	Describe the routes of transmission for infectious disease.	
19.03	Explain the mode of transmission and the steps to prevent/deal with an exposure of hepatitis, meningitis, tuberculosis & HIV.	
19.04	Explain how immunity to infectious diseases is acquired.	
19.05	Explain post exposure management of exposure to patient blood or body fluids, including completing a post exposure report.	
19.06	Describe the components of  physical fitness & mental wellbeing  	
20.0	Describe the principles of medical documentation and report writing. – The students will be able to:  	
20.01	Describe the use of written communication and documentation.	
20.02	Explain the legal implication of the patient care report.	
20.03	Identify the minimum dataset reference patient information and administrative information on the patient care report.	
20.04	Understand how to document refusal of care, including legal implications.	
21.0	Describe the components of the EMS Communication system. – The students will be able to:  	
21.01	Understand the basic principles of the  various types of communications equipment used in EMS	
21.02	Describe the use of radio communication and correct radio procedures, including the proper methods of initiating and terminating the radio call/transmission	
21.03	State the proper procedures and sequence for delivery of patient information to other healthcare professionals.	
21.04	Identify the essential components of the verbal report and legal aspects that need to be considered. 	
22.0	Describe the significance of communication techniques for the EMT. – The students will be able to:  	
22.01	Describe principles of therapeutic and effective communication with patients in a manner that achieves a positive relationship. 	
22.02	Discuss adjusting communication strategies to effectively communicate to differing age groups, developmental stages, patients with special needs, and differing cultures, including language barriers. 	
22.03	Discuss the communication techniques that should be used to interact with the patient, patient family, bystanders, and individuals from other agencies including verbal diffusion and interview techniques.	
23.0	Discuss the medical, legal and ethical issues to the provision of emergency care. – The students will be able to:  	
23.01	Differentiate between expressed, implied  and involuntary consent 	
23.02	Discuss the methods of obtaining consent and procedures for minors. 	
23.03	Discuss the issues of abandonment, negligence, false imprisonment and battery and their implications to the EMT.	
23.04	Discuss the implications for the EMT in patient refusal of care and/or transport.	
23.05	Explain the importance, necessity and legality of patient confidentiality.	
23.06	Discuss the importance of Do Not Resuscitate [DNR] (advance directives) and local or Florida provisions regarding EMS application.	
23.07	Discuss State of Florida & Federal special reporting situations such as abuse, sexual assault, gunshots & knife wounds, communicable disease, etc	
23.08	Differentiate between civil tort & criminal actions	
23.09	List the elements of negligence and defenses/protections from liability.	
23.10	Discuss the role of the EMT at crime scenes and preservation of evidence.	
23.11	Define ethics & morality and discuss their implication for the EMT.	
24.0	Discuss the principles of pharmacology as they are related to emergency care. – The students will be able to:  	
24.01	Explain the “six rights” of medication administration and describe how each one related to EMS.	
24.02	Discuss the forms in which the medications may be found and provide examples of each and discuss how the form of a medication dictates its route of administration.	
24.03	Describe the difference between a generic medication name and trade name, and provide an example of each.	
24.04	Discuss the components and elements of a drug profile including, actions, contraindications, side effects, dose and route.	
24.05	Describe the role of medical direction in medication administration and explain the difference between direct orders (online) and standing orders (off-line).	
24.06	Give the generic and trade names, actions, indication, contraindications, routes of administration, side effects, interactions & doses of medications that may be administered by and EMT in an emergency as dictated by the State of Florida & local medical direction. 	
24.07	Demonstrate how to administer medication in the following routes; oral, sublingual and auto-injector. 	
25.0	Discuss and demonstrate scene size up and management in an emergency situation. – The students will be able to:  	
25.01	Recognize and describe hazards/potential hazards at the scene.	
25.02	Determine if the scene is safe to enter.	
25.03	Discuss common mechanisms of injury/nature of illness.	
25.04	Discuss the procedures for multiple-patient situations.	
25.05	Explain why it is important for the EMT to determine the need for additional or specialized resources. 	
25.06	List the minimum standard precautions that should be followed and PPE that should be worn at the emergency scene.	
26.0	Discuss and demonstrate primary patient assessment procedures for all patient age levels. – The students will be able to:  	
26.01	Summarize the elements of a general impression of the patient.	
26.02	Discuss & demonstrate methods of assessing altered mental status using assess for level of consciousness (AVPU).	
26.03	Discuss & demonstrate methods of assessing the airway and providing airway care.  	
26.04	Describe& demonstrate methods used for assessing if a patient is breathing	
26.05	Differentiate between a patient with adequate and inadequate breathing.	
26.06	Distinguish between methods of assessing breathing.	
26.07	Describe& demonstrate the methods used to obtain a pulse.	
26.08	Discuss & demonstrate the need for assessing the patient for external bleeding.	
26.09	Describe & demonstrate normal and abnormal findings when assessing skin color, temperature, moisture & capillary refill in the pediatric, adult and geriatric patient. 	
26.10	Explain the reason for & demonstrate prioritizing a patient for care and transport.	
27.0	Discuss and demonstrate the procedures for taking the history of a patient. – The students will be able to:  	
27.01	Discuss the process of taking a history, its key components and its relationship to the primary assessment process.	
27.02	Explain the importance of obtaining a SAMPLE & OPQRST history.	
27.03	Recognize and respond to the feelings patients experience during assessment.	
27.04	Describe examples of different techniques the EMT may use to obtain information from patients, family or bystanders during the history taking process.	
28.0	Discuss and demonstrate secondary patient assessment procedures for all patient age levels. – The students will be able to:  	
28.01	Describe the unique needs & demonstrate assessing an individual with a specific chief complaint with no known prior history. 	
28.02	Discuss the components of the physical exam and skills involved.	
28.03	Differentiate between the history and physical exam that are performed for responsive patients with no known prior history, responsive patients with a known prior history and unresponsive patients.	
29.0	Describe the significance of monitoring devices in patient assessment. – The students will be able to:  	
29.01	Explain and demonstrate the use and interpretation of pulse oximetry device readings.	
29.02	List normal blood pressure ranges for the pediatric, adult and geriatric patient.	
29.03	Demonstrate how to measure a blood pressure by palpation, auscultation and electronic devices while in the field. 	
30.0	Discuss the components and factors of reassessment and its significance in patient assessment. – The students will be able to:  	
30.01	Describe the components of the reassessment and demonstrate the skills involved.	
30.02	Discuss the reasons for repeating the initial assessment as part of the reassessment.	
30.03	Explain trending assessment components and its value to other health professionals who assume care of the patient.	
31.0	Demonstrate an understanding and proficiency in Airway Management techniques – The students will be able to:  	
31.01	Name & label the structures of the respiratory system	
31.02	State what care should be provided for a patient with or without adequate breathing.	
31.03	Describe & demonstrate the steps in performing the head-tilt chin-lift.	
31.04	Relate mechanism of injury to opening the airway.	
31.05	Describe & demonstrate the steps in performing the jaw thrust.	
31.06	Describe& demonstrate the techniques of suctioning and its importance. 	
32.0	Demonstrate an understanding and proficiency in Respiration techniques. – The students will be able to:  	
32.01	Describe the pulmonary ventilation process to include mechanics of ventilation & alveolar ventilation (tidal volumes, dead space, etc)	
32.02	Describe the oxygenation process	
32.03	Explain both external & internal respiration process	
32.04	Discuss the various pathophysiologies of the respiratory system.	
32.05	Describe how to assess for adequate and inadequate respiration, including the use of pulse oximetry.	
32.06	List the components, purpose, indications, contraindications, complications and procedures for oxygen delivery devices. 	
32.07	Demonstrate oxygen administration for the pediatric, adult and geriatric patient.	
32.08	Describe and demonstrate the steps in performing the skill of assisting ventilations in the conscious and unconscious patient in respiratory distress using a bag-valve-mask (BVM), and continuous positive airway pressure (CPAP). 	
33.0	Demonstrate an understanding and proficiency in Artificial Ventilation techniques. – The students will be able to:  	
33.01	Demonstrate how to insert an oropharyngeal (oral), a nasopharyngeal (nasal) airway and a supraglottic airway.	
33.02	Describe & demonstrate how to artificially ventilate a patient with a pocket mask.	
33.03	Describe& demonstrate the steps in performing the skill of artificially ventilating a patient with a BVM for one or two rescuers. 	
33.04	Describe & demonstrate the signs of adequate & inadequate artificial ventilation using the BVM.	
33.05	Describe & demonstrate the steps in artificially ventilating a patient with a manually triggered ventilation device. 	
33.06	Demonstrate how to artificially ventilate the pediatric, adult and geriatric patient.	
33.07	Describe & demonstrate how to perform the Sellick maneuver (cricoid pressure).	
33.08	Recognize the differences between normal and positive pressure ventilation. 	
34.0	Apply a fundamental knowledge of the causes, pathophysiology and management of shock and the components of resuscitation – The students will be able to:  	
34.01	Discuss withholding resuscitation if irreversible death is obvious or if a “DO Not Resuscitate” (DNR) is present. 	
34.02	Review the anatomy & physiology of the respiratory & cardiovascular systems	
34.03	Discuss, identify pathophysiologies & medical care for respiratory failure as well as respiratory and cardiac arrest.	
34.04	Explain the system components of CPR, the four links in the AHA chain of survival & how each one relates to maximizing the survival of the patient. 	
34.05	Show Provider (AHA guidelines) certification required prior to EMT program admission as per FS 401.27.	
34.06	Understand shock, including the pathophysiology, causes, and its signs and symptoms associated with the various types of shock. 	
34.07	Discuss patient assessment and steps to the emergency care of the patient with signs & symptoms of shock.	
34.08	Discuss and distinguish the variations & causes between the emergency medical care of the pediatric, adult and geriatric patient experiencing shock.	
35.0	Apply knowledge to provide care for patients with a neurological emergency. – The students will be able to: 	
35.01	Discuss & review the anatomy, physiology & pathophysiology of the brain & spinal cord	
35.02	Discuss & identify the causes of ischemic strokes, hemorrhagic strokes & transient ischemic attacks and their similarities & differences.	
35.03	Discuss & demonstrate how to use the stroke assessment tool accepted by the State of Florida to identify a stroke patient rapidly.  	
35.04	Define and differentiate generalize seizure, partial seizure & status epilepticus and list their possible causes.	
35.05	Describe & demonstrate the assessment & medical care of the pediatric, adult and geriatric patient with neurological emergencies. 	
36.0	Apply knowledge to provide care for patients with an Abdominal/Gastrointestinal emergency. – The students will be able to:  	
36.01	Discuss and review the basic anatomy physiology & pathophysiology of the gastrointestinal, genital & urinary systems.	
36.02	Define the term,” acute abdomen.”	
36.03	Identify the signs & symptoms, and common causes of an acute abdomen.	
36.04	Describe & demonstrate the assessment & medical care of the pediatric, adult and geriatric patient with gastrointestinal emergencies.	
37.0	Apply knowledge to provide care for patients with an Immunologic emergency. – The students will be able to:  	
37.01	Understand and define the terms allergic reaction and anaphylaxis	
37.02	Describe & demonstrate the emergency medical care of the pediatric, adult and geriatric patient experiencing an allergic reaction.	
37.03	State the generic and trade names, medication forms, dose, administration, action, and contraindications for the epinephrine auto-injector.	
37.04	Demonstrate the use of epinephrine auto-injector	
38.0	Apply knowledge to provide care for a patient experiencing an infectious disease. – The students will be able to:  	
38.01	List the causes of infectious diseases	
38.02	Describe & demonstrate the emergency medical care of the pediatric, adult and geriatric patient experiencing an infectious disease.	
38.03	Discuss mandatory notification to State or Federal agencies of various diseases.	
39.0	Apply knowledge to provide care for a patient with an endocrine disorder. – The students will be able to:  	
39.01	Review the anatomy, physiology & pathophysiology of the endocrine system and its main function in the body.	
39.02	Define diabetes (type I & II), Hypoglycemia, Hyperglycemia & diabetic ketoacidosis.	
39.03	Identify & demonstrate the steps in the emergency medical care of the patient taking diabetic medicine with an altered mental status and a history of diabetes.	
39.04	State the generic and trade names, medication forms, dose, administration, action, and contraindications for oral glucose. 	
39.05	Demonstrate the steps of using a glucometer device and administering oral glucose. 	
39.06	Distinguish between the emergency medical care of the pediatric, adult and geriatric patient experiencing a diabetic emergency.	
40.0	Apply knowledge to provide care for a patient with a psychiatric emergency. – The students will be able to:  	
40.01	Define behavior, psychiatric disorders & behavioral emergencies.	
40.02	Discuss the general factors that may cause an alteration in a patient's behavior. 	
40.03	Discuss the risk factors/signs or symptoms of various psychiatric emergencies. 	
40.04	Discuss special medical/legal considerations for managing behavioral emergencies to include Florida statues:	
40.04.01	Baker Act (FS 394.451)	
40.04.02	Marchman Act (FS 397.601 & FS 397.675)	
40.04.03	Emergency examination & treatment of incapacitated  (FS401.445)	
40.05	Distinguish between the emergency medical care of the pediatric, adult and geriatric patient experiencing a behavioral or psychiatric emergency.	
40.06	Demonstrate various techniques to safely restrain a patient with a behavioral problem.	
41.0	Apply knowledge to provide care for patients with a cardiovascular emergency. – The students will be able to:  	
41.01	Review the basic anatomy, physiology and pathophysiology of the cardiovascular system.	
41.02	Describe the anatomy, physiology, pathophysiology and demonstrate the assessment & management of :	
41.02.01	Angina pectoris	
41.02.02	Thromboembolism	
41.02.03	Myocardial infarction	
41.02.04	Hypertensive emergencies	
41.02.05	Aortic aneurysm/dissection	
41.02.06	Heart Failure 	
41.03	Demonstrate the ability to assess and treat a patient with signs and symptoms of cardiac issues, including airway, medication administration, position of comfort and life span considerations. 	
41.04	List the indications & contraindications for automated external defibrillation (AED).	
41.05	Explain the impact of age and weight on defibrillation.	
41.06	Discuss the position of comfort for patients with various cardiac emergencies.	
41.07	Explain the rationale for early defibrillation. 	
41.08	Explain that not all chest pain patients result in cardiac arrest and do not need to be attached to an automated external defibrillator.	
41.09	Discuss the various types of automated external defibrillators.	
41.10	Differentiate between the fully automated and the semi-automated defibrillator.	
41.11	Understand the importance of maintenance and operators check list for AED’s. 	
41.12	Demonstrate the ability to use an AED according to the latest American Heart Association (AHA) guidelines. 	
41.13	Explain the role medical direction plays in the use of automated external defibrillation.	
42.0	Apply knowledge of toxicology to provide care for a patient with a poisoning or overdose emergency. – The students will be able to:  	
42.01	Define toxicology, poisoning & overdose.	
42.02	List various ways that poisons enter the body.	
42.03	List signs/symptoms associated with poisoning.	
42.04	Discuss & demonstrate the emergency medical care for the pediatric, adult and geriatric patient with poisoning or overdose.	
42.05	State the generic and trade names, indications, contraindications, medication form, dose, administration, actions, side effects and re‑assessment strategies for activated charcoal.	
42.06	Perform the necessary steps required to provide a patient with activated charcoal.	
43.0	Apply knowledge to provide care for a patient with a respiratory emergency. – The students will be able to:  	
43.01	List the structure, function and pathophysiology of the respiratory system.	
43.02	List signs of adequate air exchange.	
43.03	State the signs and symptoms of a patient with respiratory distress.	
43.04	Describe & demonstrate the assessment & medical care of the pediatric, adult and geriatric patient with a respiratory emergency.	
43.05	State the generic name, medication forms, dose, administration, action, indications and contraindications for the metered-dose inhaler.	
43.06	Demonstrate the steps in facilitating the use of an inhaler.	
43.07	Differentiate between upper airway obstruction and lower airway disease in the pediatric, adult and geriatric patient.	
44.0	Apply knowledge of Hematology to provide care for patients with a clotting disorder or are experiencing a sickle cell disease crisis. – The students will be able to:  	
44.01	List the composition, physiology & pathophysiology of blood.	
44.02	State the signs and symptoms of a patient with a Sickle Cell crisis or a clotting disorder.	
44.03	Describe & demonstrate the emergency medical care of the patient with Sickle cell distress or clotting disorder.	
45.0	Apply knowledge to provide care for a patient with a genitourinary/renal emergency. – The students will be able to:  	
45.01	List the anatomy, physiology & pathophysiology of the renal system.	
45.02	Understand the principles of kidney dialysis.	
45.03	State the signs and symptoms of a patient with a dialysis emergency.	
45.04	Describe & demonstrate the emergency medical care of the patient with a dialysis emergency.	
46.0	Apply knowledge to provide care for a patient with a gynecologic emergency. – The students will be able to:  	
46.01	Describe the basic anatomy, physiology and pathophysiology of the female reproductive system.	
46.02	Distinguish between the emergency medical care of the pediatric, adult and geriatric patient experiencing a female reproductive system emergency.	
46.03	Explain the general management of a gynecologic emergency in relation to patient privacy and communication.	
46.04	Discuss the special consideration and precautions an EMT must observe when arriving at the scene of a suspected case of sexual assault or rape.	
47.0	Apply knowledge to provide care for a patient with a Non-Traumatic Musculoskeletal emergency. – The students will be able to:  	
47.01	Describe the basic anatomy, physiology and pathophysiology of the skeletal system (i.e. cancer or osteoporosis).	
47.02	Describe & demonstrate the emergency medical care of the patient with a non-traumatic musculoskeletal emergency.	
48.0	Describe an overview of the identification, categorization, pathophysiology and assessment of a trauma patient. – The students will be able to:  	
48.01	Discuss and define pathophysiology of the trauma patient	
48.02	Discuss and demonstrate assessment and management of the trauma patient.	
48.03	Discuss and describe significant & non-significant Mechanism of Injury (MOI) & provide examples of each. 	
48.04	Discuss and describe State of Florida’s trauma scorecard methodologies as required in FS 401.2701 & 64J-2.004 & 2.005.	
48.05	Discuss the National Trauma Triage Protocol of injured Patients (http://cdc.gov/fieldtriage/ ) 	
49.0	Demonstrate an understanding and the skills required for the management of a patient with traumatic bleeding. – The students will be able to:  	
49.01	Review the anatomy & physiology of the circulatory system	
49.02	Differentiate between:	
49.02.01	 Internal and external bleeding.	
49.02.02	Arterial, venous and capillary bleeding.	
49.03	Explain and demonstrate emergency medical care of the patient with external & internal bleeding.	
49.04	List signs and symptoms of shock (hypo-perfusion).	
50.0	Demonstrate an understanding and the skills required for the management of a patient with a chest trauma. – The students will be able to:  	
50.01	Discuss MOI for chest injury (blunt & penetrating, energy & injury).	
50.02	List the anatomy, physiology & pathophysiology of the thoracic/chest cavity & respiratory system.	
50.03	Differentiate between a pneumothorax (open, simple & tension) & hemothorax. 	
50.04	Describe and demonstrate the assessment & management of a patient with a suspected chest (open and closed) injury.	
51.0	Demonstrate an understanding and the skills required for the management of a patient with an abdominal/genitourinary trauma. – The students will be able to:  	
51.01	Discuss MOI for abdominal injury (blunt & penetrating, energy & injury).	
51.02	List the anatomy, physiology & pathophysiology of the abdominal cavity & genitourinary (both male & female) system.	
51.03	Describe the abdominal quadrants 	
51.04	Describe the differences between hollow & solid organs.	
51.05	Describe and demonstrate the assessment & management of a patient with a suspected abdominal (penetrating or blunt) or genitourinary injury.	
51.06	Explain special consideration related to a patient who has experienced an injury by sexual assault/abuse.	
52.0	Demonstrate an understanding and the skills required for the management of a patient with an orthopedic trauma. – The students will be able to:  	
52.01	Discuss MOI for orthopedic injury (blunt & penetrating, energy & injury).	
52.02	Review the anatomy, physiology & pathophysiology of the musculoskeletal system.	
52.03	Describe the different types of musculoskeletal injuries including fractures, amputations, sprains, & strains.	
52.04	Differentiate between an open and a closed painful, swollen, deformed extremity.	
52.05	Describe and demonstrate the assessment & management of a patient with a suspected orthopedic injury.  	
53.0	Demonstrate an understanding and the skills required for the management of a patient with a soft tissue trauma. – The students will be able to:  	
53.01	Discuss & list the anatomy and physiology, to include the layers, of the skin.	
53.02	Discuss and list the types of open & closed soft tissue injury.	
53.03	Define and list characteristics of superficial, partial-thickness and full-thickness burns.	
53.04	Explain how the seriousness of a burn is related to its depth and extent (percent of body surface area (BSA) involved or rule of 9s) for adult & pediatric patient.	
53.05	Describe and demonstrate the assessment & management of a patient with a soft tissue injury. 	
54.0	Demonstrate an understanding and the skills required for the management of a patient with a head, facial, or neck (non-spinal) trauma. – The students will be able to:  	
54.01	List the anatomy, physiology & pathophysiology of the head, face, & neck.	
54.02	Discuss MOI for head, face, & neck (non-spinal) (blunt & penetrating, energy & injury).	
54.03	Describe and demonstrate the assessment & management of a patient with an injury to the head, face & neck (non-spinal). 	
55.0	Demonstrate an understanding and the skills required for the management of a patient with a nervous system trauma. – The students will be able to:  	
55.01	Review the anatomy, physiology & pathophysiology of the nervous system. 	
55.02	Explain functions of the somatic & autonomic nervous system	
55.03	Discuss MOI for head (brain) & spinal (blunt & penetrating, energy & injury).	
55.04	Discuss the different types of brain injuries and their corresponding signs and symptoms, including increased intracranial pressure (ICP), concussion, contusion & injuries caused my medical conditions.	
55.05	Describe and demonstrate the assessment & management of a patient with a head (brain) and spinal injury. 	
56.0	Demonstrate an understanding of the special considerations for the management of a patient experiencing a trauma during pregnancy. – The students will be able to:  	
56.01	Discuss Anatomy, physiology & pathophysiology of the pregnant trauma patient.	
56.02	Discuss MOI and fetal considerations for the pregnant trauma patient.	
56.03	Discuss & demonstrate unique injuries and conditions along with assessment & management for the pregnant patient involved in trauma.	
57.0	Demonstrate an understanding of the special considerations for the management of the pediatric patient experiencing a trauma. – The students will be able to:  	
57.01	Discuss Anatomy, physiology & pathophysiology of the pediatric trauma patient.	
57.02	Discuss & demonstrate unique assessment & management considerations for the pediatric trauma patient.	
58.0	Demonstrate an understanding of the special considerations for the management of the geriatric patient experiencing a trauma. – The students will be able to:  	
58.01	Discuss Anatomy, physiology & pathophysiology of the elderly trauma patient.	
58.02	Discuss & demonstrate unique assessment & management considerations for the elderly trauma patient.	
59.0	Demonstrate an understanding of the special considerations for the management of the cognitively impaired patient experiencing a trauma. – The students will be able to:  	
59.01	Discuss anatomy, physiology & pathophysiology of the cognitively impaired trauma patient.	
59.02	Discuss & demonstrate unique assessment & management considerations for the cognitively impaired trauma patient.	
60.0	Discuss and demonstrate how to assess and manage environmental trauma emergencies. – The students will be able to:  	
60.01	Define drowning and discuss its incidence, rick factors & prevention.	
60.02	List pathophysiologies of water related incidents 	
60.03	Describe submersion in salt and fresh water	
60.04	Discuss & demonstrate assessment & management considerations for a patient of a submersion incident.	
60.05	Describe the different types of diving emergencies and how they may occur.	
60.06	List pathophysiologies of dysbarism incidents to include high altitudes and diving incidents.	
60.07	Discuss & demonstrate assessment & management considerations for a patient of a dysbarism incident.	
60.08	Discuss & demonstrate assessment & management considerations for a patient of a lightning incident	
60.09	Explain the five ways a body can lose heat	
60.10	List pathophysiologies of temperature related incidents to include both cold and heat related illness. 	
60.11	Discuss & demonstrate assessment & management considerations for a patient of a temperature related illness 	
60.12	Identify the species of insects, spiders & snakes in the US that may cause life threatening injuries.	
60.13	Discuss & demonstrate assessment & management considerations for a patient of a bite or envenomation incident.	
61.0	 Define and articulate the kinematics of trauma. – The students will be able to:  	
61.01	Explain the relationship between mechanism of injury and potential energy, kinetic energy and work.	
61.02	Define term blunt & penetrating trauma and provide examples of the mechanism of injury (MOI) that would cause each to occur and include:	
61.02.01	Affects of high, medium & low velocity penetrating trauma	
61.02.02	Primary, secondary, tertiary and miscellaneous blast injuries	
61.02.03	Factors to consider of a patient injured in a fall	
61.02.04	Consider age (the pediatric, adult and geriatric patient)	
62.0	Describe the components and procedures of a multi-system trauma. – The students will be able to:  	
62.01	Describe and provide a general overview of multisystem trauma patient management.	
62.02	 Discuss the golden principle of out-of-hospital trauma care	
62.03	Discuss & demonstrate assessment & management considerations for a patient of multi system injuries.	
63.0	Apply knowledge of growth development, aging and assessment to the obstetric and neonatal populations. – The students will be able to:  	
63.01	Review the anatomy, physiology & pathophysiology of the female reproductive system.	
63.02	Explain the normal changes that occur during pregnancy.	
63.03	Differentiate between the stages of labor and delivery.	
63.04	Discuss & demonstrate assessment & management considerations of a pregnancy 	
63.05	Discuss assessment & management considerations of complications of pregnancy.	
63.06	Discuss & demonstrate assessment & management considerations of a neonate.	
64.0	Apply knowledge of growth development, aging and assessment to the pediatric population. – The students will be able to:  	
64.01	List the anatomy, physiology & pathophysiology of the pediatric patient.	
64.02	Describe the differences in anatomy when compared to the adult patient to 	
64.03	Discuss & demonstrate assessment & management considerations of a pediatric emergency. 	
64.04	 The most common causes of the following conditions in the pediatric patient.	
64.04.01	Shock	
64.04.02	Altered mental status and seizures	
64.04.03	Gastrointestinal emergencies 	
64.04.04	Poisonings	
64.04.05	Drowning	
64.04.06	Trauma 	
64.05	Discuss & demonstrate assessment & management considerations for Sudden Unexplained Infant Death Syndrome (SUIDS).	
65.0	Apply knowledge of growth development, aging and assessment to the geriatric population. – The students will be able to:  	
65.01	Define and discuss the term “geriatrics.”	
65.02	List the anatomy, physiology & pathophysiology of the Geriatric patient. 	
65.03	Discuss & demonstrate assessment & management considerations of a geriatric emergency.	
66.0	Apply knowledge of growth development, aging and assessment to patients with special challenges. – The students will be able to:  	
66.01	Define and discuss child and elder abuse and neglect and possible indicators of each.	
66.02	Discuss assessment & management considerations of a patient with special needs to include child and elder abuse and neglect, homelessness/poverty, etc.	
67.0	Discuss and demonstrate the principles of safely operating a ground ambulance. – The students will be able to:  	
67.01	Discuss the importance of performing regular vehicle & equipment inspection.	
67.02	Describe the general provisions of Florida laws relating to the operation of the ambulance and privileges.	
67.03	Discuss "Due Regard for Safety of All Others" while operating an emergency vehicle.	
67.04	Provide examples of some high risk situations and hazards that may affect the safety of the ambulance and its passengers during both pre-transport & transport.	
68.0	Discuss an overview of EMS operations during a multiples casualty incident. – The students will be able to:  	
68.01	Describe the specific condition that would define a mass-casualty incident (MCI) and give examples.	
68.02	Describe primary and secondary triage, how the four triage categories are assigned and how destination decisions are made.	
68.03	Describe how the techniques of triage are performed.	
68.04	Demonstrate how to perform a triage based scenario that involves an MCI.	
69.0	Demonstrate knowledge and procedures involved in safely operating in and around an air medical operations landing zone. – The students will be able to:  	
69.01	Discuss safe air medical operations	
69.02	Describe key scene safety considerations when preparing for a helicopter medivac, including establishing a landing zone and approaching the aircraft.	
69.03	Discuss the criteria for utilizing an air medial response	
70.0	Discuss correct procedures of extrication to ensure EMS personnel and patient safety during extrication operations. – The students will be able to:  	
70.01	Describe the role of the EMT in patient rescue & vehicle extrication	
70.02	Describe personal and patient safety during vehicle extrication. 	
70.03	Discuss the factors related to ensuring situational safety at the site of a vehicle extrication	
70.04	Explain the difference between simple access and complex access in vehicle extrication	
70.05	Discuss patient care consideration related to assisting with rapid extrication, providing emergency care to the trapped patient and removing and transferring a patient. 	
71.0	Discuss the risks and responsibilities of operating during a terrorism event or during a natural or man-made disaster. – The students will be able to:  	
71.01	Describe the role of the EMT on the scene of a natural or man-made disaster	
71.02	Define the term international terrorism & domestic terrorism and provide examples of incidents of each.	
71.03	Describe personal & patient safety during a natural or man-made disaster.	
71.04	Describe the factors related to ensuring situational safety at the site of a disaster and the procedures required.	

Additional Information

Laboratory Activities

Laboratory activities are an integral part of this program.  These activities include instruction in the use of safety procedures, tools, equipment, materials, and processes related to these occupations.  Equipment and supplies should be provided to enhance hands-on experiences for students. 

Florida Statute 401.2701 requires that the instructor-student ratio should not exceed 1:6. Hospital activity shall include a minimum of 20 hours of supervised clinical supervision, including 10 hrs in a hospital emergency department.  Clinical activity shall include appropriate patient assessment skills, intervention and documentation relevant to each clinical rotation.

Field internship shall include a competency based program to assure appropriate pre-hospital assessment and management of medical and trauma patients, as well as associated manual skills.  The field internship activity shall include a minimum of 5 emergency runs resulting in patient care and transport appropriate for the EMT.  In addition, the patient care component should include minimum competencies in patient assessment, airway management and ventilation, trauma and medical emergencies.

Special Notes

This program meets the Department of Health trauma score card methodologies and SUIDS training education requirements. Upon completion of this program, the instructor will provide a certificate to the student verifying that these requirements have been met. Programs may also teach domestic violence and prevention of medical errors education and may choose to provide a certificate to the student verifying that this education has been completed.

Please refer to chapter 401 F.S. for more information on disqualification for the EMT license through the Office of Emergency Medical Services (EMS), Department of Health. 

An EMT program must be taught by an instructor meeting the qualifications as set forth in 64J-1.0201 FAC.

Students must complete this program, or demonstrate the mastery of skills standards contained in this program, before advancing in either of the other programs in this cluster.  Completion of this program should prepare the student for the certification examination approved for the state of Florida.

An American Heart Association or Red Cross certification or equivalent in "professional" BLS is required of all candidates for entrance into an EMT program.  

The Student Performance Standards for Emergency Medical Technology-EMT were adapted from the US Department of Transportation (DOT) National EMS Educational Standards for EMT.  

Once students have successfully completed the EMT Program, they may be given a certificate stating they have met all Emergency Medical Responder competency requirements.

Outcomes 01-11 are referred to as the Health Careers Core and do not have to be completed if the student has previously completed the Core in another health science program.  The Core should be taken first or concurrently with the first course in the program.  Following the successful completion of the core, the student is eligible to take the National Health Care Foundation Skill Standards Assessment with instructor approval and the completion of a portfolio

Career and Technical Student Organization (CTSO)

HOSA: Future Health Professionals is the appropriate career and technical student organization for providing leadership training and reinforcing specific career and technical skills.  Career and Technical Student Organizations provide activities for students as an integral part of the instruction offered.  The activities of such organizations are defined as part of the curriculum in accordance with Rule 6A-6.065, F.A.C.

Accommodations

Federal and state legislation requires the provision of accommodations for students with disabilities as identified on the secondary student’s Individual Educational Plan (IEP) or 504 plan or postsecondary student’s accommodations’ plan to meet individual needs and ensure equal access.  Postsecondary students with disabilities must self-identify, present documentation, request accommodations if needed, and develop a plan with their counselor and/or instructors.  Accommodations received in postsecondary education may differ from those received in secondary education.  Accommodations change the way the student is instructed.  Students with disabilities may need accommodations in such areas as instructional methods and materials, assignments and assessments, time demands and schedules, learning environment, assistive technology and special communication systems.  Documentation of the accommodations requested and provided should be maintained in a confidential file.

In addition to accommodations, some secondary students with disabilities (students with an IEP served in Exceptional Student Education (ESE)) will need modifications to meet their needs.  Modifications change the outcomes or what the student is expected to learn, e.g., modifying the curriculum of a secondary career and technical education course.  Note: postsecondary curriculum and regulated secondary programs cannot be modified.

Some secondary students with disabilities (ESE) may need additional time (i.e., longer than the regular school year), to master the student performance standards associated with a regular Occupational Completion Point (OCP) or a Modified Occupational Completion Point (MOCP).  If needed, a student may enroll in the same career and technical course more than once.  Documentation should be included in the IEP that clearly indicates that it is anticipated that the student may need an additional year to complete an OCP/MOCP.  The student should work on different competencies and new applications of competencies each year toward completion of the OCP/MOCP.  After achieving the competencies identified for the year, the student earns credit for the course.  It is important to ensure that credits earned by students are reported accurately.  The district’s information system must be designed to accept multiple credits for the same course number for eligible students with disabilities.

Articulation

The information related to the guaranteed transfer of credit between an ATD program and AS or AAS degree must be documented and maintained by the Articulation Coordinating Committee (ACC).  The transfer of the ATD to an AS or AAS degree is guaranteed for a period of three (3) years following the date of the award of the ATD.  For further information about ATD to AS or AAS degree articulation agreements please visit, http://www.fldoe.org/articulation/pdf/ATD_to_ASandAAS_ArticulationAgreemts.pdf 

Program Length

In accordance with Rule 6A-10.024, F.A.C. an ATD program consists of a course of study that is part of an AS or AAS degree program, is less than 60 credit hours, is approximately 50% of the technical component (non-general education), and leads to employment in a specific occupation.  An ATD program may consist of either technical credit or college credit. 

Students must have a high school diploma, a GED, or a certificate of completion to be admitted to an ATD program.  Within six weeks of entry, students in ATD programs of 450 or more hours must be tested pursuant to Rule 6A-10.040, F.A.C. and if below minimum standards for completion from the program, must receive remedial instruction.  The minimum standards must be at least the equivalent of a score of ten (10) on all sections of basic skills test approved in Rule 6A-10.040, F.A.C.  Students must successfully complete all remedial instruction before completing the ATD.  

Community Colleges may offer either college or career credit toward the ATD.  A Career Center in a public school district may offer an ATD program only as technical credit, with college credit awarded to a student upon articulation to a community college (Section 1004.02, F.S.) 

When offered at a community college the standard length of this program is 11 credits.  When offered at a technical center the standard length of this program is 250 clock hours.

In accordance with Rule 6A-10.024, F.A.C. all faculty providing instruction must have at least a baccalaureate degree or an associate degree with demonstrated competencies in the specific instructional program as defined by the Southern Association of Colleges and Schools.