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Diploma HE Paramedic Science, Lecture notes of Reasoning

The broad overall aims of the programme are:- 1. To equip the student with the knowledge, skills, values and professional standards required to practice as ...

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STUDENT AND ACADEMIC SERVICES
PROGRAMME SPECIFICATION
Part 1: Basic Data
Awarding Institution
University of the West of England
Teaching Institution
University of the West of England
Delivery Location
Glenside Campus
Study abroad / Exchange /
Credit recognition
N/A
Faculty responsible for
programme
Health and Applied Sciences.
Department responsible for
programme
Allied Health Professions
Modular Scheme Title
N/A
Professional Statutory or
Regulatory Body Links
Health and Care Professions Council
Highest Award Title
Diploma in Higher Education Paramedic Science
Default Award Title
Diploma in Higher Education Health and Social Studies
Fall-back Award Title
N/A
Interim Award Titles
Certificate in Higher Education Health and Social Studies
UWE Progression Route
N/A
Mode(s) of Delivery
DL
Codes
UCAS:
JACS:
ISIS2:
HESA:
Relevant QAA Subject
Benchmark Statements
QAA Paramedic Science Subject Benchmarks (2004)
First CAP Approval Date
19/01/2016
Valid from
Revision CAP Approval Date
31 May 2017
Revised
with effect
from
Version
2
Review Date
April 2022
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STUDENT AND ACADEMIC SERVICES

PROGRAMME SPECIFICATION

Part 1: Basic Data Awarding Institution University of the West of England Teaching Institution University of the West of England Delivery Location Glenside Campus Study abroad / Exchange / Credit recognition N/A Faculty responsible for programme Health and Applied Sciences_._ Department responsible for programme Allied Health Professions Modular Scheme Title N/A Professional Statutory or Regulatory Body Links Health and Care Professions Council Highest Award Title Diploma in Higher Education Paramedic Science Default Award Title (^) Diploma in Higher Education Health and Social Studies Fall-back Award Title N/A Interim Award Titles (^) Certificate in Higher Education Health and Social Studies UWE Progression Route N/A Mode(s) of Delivery DL Codes UCAS: JACS: ISIS2: HESA: Relevant QAA Subject Benchmark Statements QAA Paramedic Science Subject^ Benchmarks (2004) First CAP Approval Date 19/01/2016 Valid from April 2016 Revision CAP Approval Date 31 May 2017 Revised with effect from September 2017 Version (^) 2 Review Date (^) April 2022

The broad overall aims of the programme are:-

  1. To equip the student with the knowledge, skills, values and professional standards required to practice as a paramedic.
  2. To develop diplomats who are eligible to apply for Paramedic registration with the Health and Care Professions Council. In so doing it will develop safe and effective clinicians who:  Undertake a reflective and evaluative approach to their professional practice.  Have sound knowledge, understanding and skills that are evidence based in order to practice as a paramedic.  Are able to integrate theory with practice using critical analysis, clinical reasoning and problem solving to enhance practice.  Can work collaboratively with other health care professionals in practice.  Value continual professional development and lifelong learning.

 Can undertake comprehensive assessment and examination using a range of

diagnostic skills and provide appropriate therapeutic interventions and access to care pathways. Programme requirements for the purposes of the Higher Education Achievement Record (HEAR) Paramedic Science diplomats will be able to demonstrate knowledge of all aspects of pre- hospital emergency care including both urgent care and critical care. They will demonstrate the skills and attitudes necessary to providing effective and holistic care and be aware of the impact of psychological, sociological, anatomical and physiological factors affecting the acutely sick or injured service user. Diplomats will be able to demonstrate clinical reasoning and problem solving skills relating to these factors and to apply their knowledge in practice. In addition, they will have shown that they are able to demonstrate teamwork in multi-professional working. They will be able to apply evidence based practice interventions; they will understand life sciences which underpin practice and the principles and practice of administering emergency medication. They will be able to integrate theory with practice using critical analysis, reasoning and problem solving to enhance practice. They will be able to use autonomous judgment and they will have developed an enquiring and analytical approach to their practice. They will have the ability to critique and review research evidence to underpin practice. The programme emphasises the importance of interpersonal skills to calm and reassure the service user and their relatives at a time of crisis and high anxiety. They will also have the ability to apply risk assessments in the unpredictable context of pre-hospital emergency care. On completion of the diploma, diplomats will be able to evaluate their own provision of emergency and urgent care and that of others. They will be able to communicate well with the service user and to where appropriate, consider care alternative pathways to transport. In addition, they will be competent, reflective and reflexive practitioners with an understanding of clinical and key performance indicators in the sector and the challenges which arise from these. Paramedic diplomats will be able to adhere to the professional codes of conduct for their chosen profession. Graduates of the Paramedic course will be able to demonstrate personal leadership and be able to work well as part of a team. They will have shown that they hold patient care in prioritisation of workload and, at the point of qualification; they will be fit to practice as an entry-level paramedic. Part 2: Educational Aims of the Programme

(B) Intellectual Skills

1. Reflect critically on their practice X^ X^ X^ X^ X^ X^ X^ X

2. Review and consolidate evidence from a wide range of sources

extending their own body of knowledge

X X X X X X X X X X X

3. Synthesise knowledge and analyse and evaluate evidence to

support practice

X X X X X X X X X X X

4. Reach reasoned conclusions and/or sustained judgements X^ X^ X^ X^ X^ X

5. Critically reflect upon the legal responsibilities and ethical

considerations of professional practice, acknowledging the scope

of professional competence

X X X X X X X X X X

6. Recognise and analyse problems and plan strategies for their

solution

X X X X X X X X

7. Discuss and debate issues relevant to care with people in a

variety of settings and contexts

X X X X X X X X X

8. Translate professional principles to practice, selecting and

modifying approaches

X X X X X X X X X

9. Engage with the process of continuing professional development

and lifelong learning

X X X X

(C) Subject/Professional/Practical Skills

1. Practice within legal and ethical boundaries that ensures the

primacy of patient interest, wellbeing and which respects

confidentiality

X X X X X X X X X X

2. Practice in a fair and non-discriminatory way, acknowledging the

different beliefs and cultural practices of individuals or groups

X X X X X X X X X

3. Engage in, develop and disengage from therapeutic relationships

using appropriate communication and interpersonal skills

X X X X X X X X

4. Create and utilise opportunities to promote the health and

wellbeing of patients and groups

X X X X X X X X X

5. Undertake and document a comprehensive, systematic and

accurate assessment of the physical, psychological and social

needs of service users; formulating a plan of care, where

possible, in partnership with patients/carer(s)/significant others

X X X X X X X X X

within a framework of informed consent

6. Demonstrate a full range of essential paramedic skills to meet

individuals’ needs, evaluating and documenting the outcomes

X X X X X X X X X

7. Contribute to public protection by creating a safe environment

of care using quality assurance and dynamic risk management

strategies

X X X X X X X X X

(D) Transferable skills and other attributes

1. Use sound clinical judgement across a range of differing

professional and care delivery contexts

X X X X X X X X

2. Investigate contradictory information and analyse reasons for

contradictions

X X X X X X

3. Structure and communicate ideas effectively to a variety of

personnel in different environments using verbal, written and IT

skills

X X X X X X

4. Maintain and disseminate a philosophy of life-long learning,

enhancing the professional development and safe practice of

others through peer support, leadership, supervision and

teaching

X X X X X

5. Problem-solve, extending to situations where clinical decision-

making has to be made on the basis of limited information

X X X X X X X X

6. Use knowledge of effective inter-professional working practices

that respect and utilise the contributions of members of the

health and social care workforce

X X X X X X X X X

Learning Activities The course is mostly distance-based, with only fourteen university attendance days per year. This approach is highly popular for employers and employees in the ambulance service and is supported by a range of clinical experts alongside the UWE academic team. Contact time encompasses a range of activities as described below. In addition a range of other learning activities will be embedded within the programme which, together with the contact time, will enable learning outcomes to be achieved and demonstrated. On the Diploma in Paramedic Science programme teaching is a mix of scheduled, independent and placement learning. Scheduled learning includes lectures, seminars, tutorials, project supervision, demonstration, practical classes and workshops; external visits; work based learning; supervised time in simulation. University attendance is required for approximately 4 days ( 24 hours) per module or 264 hours in total. Independent learning includes hours engaged with essential reading and a range of technology enhanced materials that can be accessed through distance learning. Also research and case study preparation, reflection, assignment preparation and completion etc. Placement Learning Practice based learning forms an indispensable and integral part of the learning process. Learning gained in practice settings is vital to the student’s educational and professional development and to the fulfilment of the elements of practice. Practice learning is linked with two practice modules. Clinical placements are primarily with the Ambulance Trust. Other placement areas include; the operating theatre; emergency department; children’s unit; central delivery suite and minor injury/minor illness unit. During placements with the ambulance service, learning is facilitated by appropriately qualified Practice Placement Educators. The College of Paramedics (2015) Curriculum Guidance requires the student to undertake a minimum of 750 hours of placement per year (2250 in total). The placement areas will be with the Ambulance Trust and the Acute Hospital Trusts and these will provide the student with opportunities to develop their clinical practice. The placement educator will assess the student both formatively and summatively against the ‘elements of paramedic practice’. Description of the typical teaching resources provided for students The Essentials of Prehospital Emerg

.^ Pract . Communication Skills for Paramedic Science Applied Anatomy and Physiology for Paramedic Science Physical Assessment and Clinical Decision Making Foundations of Paramedic Clinical Practice Psychosocial Studies for Paramedic Science Emergency Care of the Older Adult Prehospital Emergency Care of the Child and Adolescent Research and Evidence Based Paramedic Practice Contemporary Paramedic Clinical Practice Paramedic Clinical Practice Technology Enhanced Learning: Virtual learning environment: BlackBoard ®^           

BlackBoard ®^ resources: e.g.doc; ppt; mov; Kaltura media ® ; Adobe ®; Adobe Presenter ® ; enhanced ppt; .mp3 podcasts; YouTube ®^ videos.            Module Guides: These provide ‘walkthrough’ guidance for students; providing them with a timeline and guidance on accessing the learning activities and achieving the learning outcomes.            TEL training resources e.g. The Visible Body ® ; Anatomy TV ® ; Anatomy and Physiology Online ® ; Clinical Skills Net ® ;          HSC Library online workbook (finding information & evidence)      Blackboard ®^ discussion groups, wikis, blogs (^)            Facebook ®^ groups (paramedic specific)            UChoose ®^ (Interactive cased-based scenarios & decision making paths)      On-line portfolio (PebblePad ®^ / other)   Simulation: High Fidelity Simulation mannequins: Megacode Kelly     Simulation mannequins: Child Megacode Kelly     Simulation mannequins: Sim-Mom & Sim-Baby  Trauma mannequin ^   Simulation: Low Fidelity Sim house ^    Home birth room;  Ambulance x 2 ^    Paediatric simulation suite (^)  Ward areas (^)   Clinical skills: cannulation models; injection giving model; airway management simulator; difficult airway simulator; needle cricothyrotomy models; needle chest decompression simulators.     Clinical equipment: Electronic and manual sphygmomanometers; stethoscopes, cardiac monitors; manual and automatic defibrillators; blood glucose testing; tympanic thermometers; pen-torches; reflex hammers; ophthalmoscopes, auroscopes; snellen eye-chart; SGA basic, intermediate and advanced life support equipment      Anatomic models: heart; upper and lower airway; skeleton; skull, pelvis, internal abdominal organs and tract; brain etc.      Infant and neonatal resuscitation (mannequins & related equipment)     Research and Evidence: Electronic access to health and care related databases e.g.: Cinahl; Cinahl +; Medline; BNI;            Electronic access to urgent and emergency care journals e.g.: Journal of Paramedic Practice; Emergency Medicines Journal            Library online workbooks and tutorials (finding information & evidence) ^ ^ ^ ^ ^ ^ ^ ^ ^ ^  Library tutorials and lectures (^)           

Students are required to complete a minimum of 750 hours of supervised practice placement in each year of the programme. Level 2 In level two, which encompasses 18 months of study time, each student will attend UWE for approximately 25 days. This typically equates to 5 days per module and approximately 150 hours of face-to-face teaching. There are 6 modules at this level. Alongside university attendance for clinical skills, students will be required to undertake approximately 521 hours of independent study for the theoretical components of level two. Independent study is again supported by the virtual learning environment which is detailed above. Level two modules have been designed to build on the foundations from level one and focus on clinical reasoning skills; advanced patient assessment; clinical care pathways; advanced life support skills, using the same blended learning approach as level 1. When students progress into level two, they continue to be exposed to the full range of medical and traumatic conditions resulting from the 999 system. Alongside this, to guarantee exposure to specialist clinical conditions, students will undertake additional clinical placements in acute hospital settings to gain experience of; airway management; assessment and management of injury and illness affecting adults, children and young people; childbirth and the complications of childbirth. Hospital placements include one week in each of the following areas: the Children’s Emergency Department or Acute Assessment Unit; the Central Delivery Suite or Birthing Unit; the Adult Emergency Department and the Operating Theatre or Operating Department. In addition to enquiry based learning, the programme employs a spiral approach. Themes visited iteratively, in an increasingly complex manner, facilitate the development and progression of higher cognitive skills, an increasing appreciation of the impact of context and environment upon practice and the importance of professional identify when providing patient centred care. Another strength of the programme is the interprofessional learning elements it has included; our students engage in learning alongside:  The Fire and Rescue Service: Road traffic collision extrication training.  The Hazardous Area Rescue Teams (HART): Special Operations Response Team (SORT) training and participation in a Major Incident Exercise.  The Adult Nursing programme: Simulated emergency calls and a mock Emergency Department.

Approved to University Regulations and Procedures Assessment Strategy Assessment strategy to enable the learning outcomes to be achieved and demonstrated: “There are good reasons why forms of assessment vary widely. These include the need to ensure that types of assessment, including reassessment, test the intended learning outcomes accurately and fairly, and are appropriate to the subject being studied, the mode of learning, and to the students taking the module or programme” QAA Section 6 Assessment A range of assessment methods are employed to monitor student attainment of the full range of Learning Outcomes. Assessment incorporates the Department’s assessment strategy and The QAA Code of Practice on Assessment of Students. The principles, procedures and process of assessment for each module are described in each module handbook, which is provided to each student (online) at the start of each module. In level one, a range of assessment strategies provide opportunities for the student paramedic to demonstrate knowledge and understanding of the principles and foundations for paramedic practice. Students are introduced to reflective models and assignment based assessments are incorporated to encourage reflective practice in interpersonal skills and clinical decision making, as well as early reflections on practice in basic patient assessment skills. Unseen examination assessments are limited to knowledge and understanding of anatomy and physiology. Elements of paramedic clinical practice and achievement of learning outcomes are assessed and recorded in a practice placement portfolio which the student takes with them into placement. In level two, assessment incorporates critical thinking and clinical reasoning skills through a varied range of assignment related assessments. Students are encouraged to think about their future role as a paramedic mentor and role model for others through production of teaching packs for level one students. Advanced clinical interventions, such as needle chest decompression, endotracheal intubation and advanced life support are assessed through objective structured clinical exams. Part 5: Assessment

Part 6: Programme Structure This structure diagram demonstrates the student journey from Entry through to Graduation for a typical student, including: level and credit requirements; interim award requirements; module diet, including compulsory and optional modules. Condonement and excused credit are not permitted. No aegrotat award with registration is available. ENTRY Year 1 Compulsory Modules Interim Awards UZYRUN- 30 - 1 Applied Anatomy and Physiology for Paramedic Science UZYRN4- 15 - 1 The Essentials of Prehospital Emergency Practice UZYRMX- 15 - 1 Communication Skills for Paramedic Science UZYRMY- 30 - 1 Foundations of Paramedic Clinical Practice (Note: Module concludes in year 2 ) Year 2 Compulsory Modules Interim Awards UZYRN3- 30 - 1 Physical Assessment and Clinical Decision Making Cert HE Health & Social Studies Credit requirements: 120 credits at level 0 or above of which not less than 100 are at level 1 or above UZYRS7- 15 - 2 Psychosocial Studies for Paramedic Science UZYRR8- 15 - 2 Emergency Care of the Older Adult UZYRRW- 30 - 2 Paramedic Clinical Practice (Note: Module concludes in year 3) Year 3 Compulsory Modules Interim Awards UZYRRX- 15 - 2 Prehospital Emergency Care of the Child and Adolescent Target Award: Diploma (HE) Paramedic Science Credit requirements: 240 credits at level 0 or above of which not less than 220 are at level 1 or above and not less than 100 are at level 2 or above. In order to be eligible to apply for HCPC registration a student must successfully graduate with the Dip HE Paramedic Science award. UZYRQN- 30 - 2 Contemporary Paramedic Clinical Practice UZYRUP- 15 - 2 Research and Evidence Based Paramedic Practice GRADUATION

The University’s Standard Entry Requirements apply with the following additions:

  1. Applicants must have GCSE in Maths and English (Grades A – C) or an equivalent functional skills award.
  2. Applicants must be employed in the emergency ambulance service in a role which requires them to attend to the acutely sick and injured. In addition to the above, applicants employed by the Ambulance Service for more than one year can gain entry on to the programme through one of the following two routes:-
  3. Applicants who have completed and achieved the Emergency Care Assistant award or the IHCD/Edexcel Ambulance Technician award and have a minimum of three years experiential learning in that role will receive accreditation for prior certificated and experiential learning for the level 1 modules: UZYRN4- 15 - 1 The Essentials of Prehospital Emergency Practice UZYRMW- 30 - 1 Applied Anatomy and Physiology for Paramedic Science UZYRMX- 15 - 1 Communication Skills for Paramedic Science UZYRMY- 30 - 1 Foundations of Paramedic Clinical Practice Applicants must also have successfully achieved the learning outcomes of the Accelerating Learning for Professionals module UZYRSN- 20 - 1 or equivalent learning deemed appropriate by agreement with the programme leader.
  4. Applicants who have completed and achieved the Emergency Care Assistant award or the IHCD/Edexcel Ambulance Technician Award and have a minimum of one year experiential learning in that role will receive accreditation for prior certificated and experiential learning for the level 1 module: UZYRN4- 15 - 1 The Essentials of Prehospital Emergency Practice Applicants must also have successfully achieved the learning outcomes of the Accelerating Learning for Professionals module UZYRSN- 20 - 1 or equivalent learning deemed appropriate by agreement with the programme leader. Additional selection criteria:  Confirmation from employer that Occupational Health and Disclosure and Barring Service status is satisfactory (where this cannot be confirmed checking must be undertaken)  Interview - shortlisted applicants will be invited to attend an interview.  Prior Certificated Learning Students wishing to transfer from other institutions will be considered on an individual basis if they meet the course requirements and there is capacity available within the programme.  Applicants whose first language is not English must have a minimum IELTS score of 7 overall with a minimum of 6.5 in any section, (or equivalent). The core values of the NHS Constitution are embedded throughout the programme and within its recruitment process. Part 7: Entry Requirements

FOR OFFICE USE ONLY First CAP Approval Date 19 January 2016 Revision CAP Approval Date 31 May 2017 Version 2 Link to RIA 12320 Next Periodic Curriculum Review due date

Date of last Periodic Curriculum Review