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EMR Information Guide

Southwest Camden County Fire Protection District


EMT Training Program Student Handbook





This handbook has been prepared by the Southwest Camden County Fire Protection District EMS Program as an adjunct to the Training Bureau’s Policies and Procedures. It contains important information specific to the Program’s EMS Training Program and should be used as a reference throughout the program.



The Southwest Camden County Fire Protection District EMS Program does not discriminate on the basis of race, color, religion, national origin, gender, sexual orientation, disability, age or marital status in any of its policies, procedures, or practices. This nondiscrimination policy covers admission, employment and access to all programs and activities.



Revised: May 2017

Southwest Training Admin Manual

Policy Manual


This policy manual will be made available to all students in all courses taught.


The current class schedule and calendar are available by request to the EMS Division Chief. This calendar is subject to change without notice. Changes to ongoing courses will be announced to the affected students.


Admission criteria


Some exceptions may apply. Please contact the EMS Division Chief with specific questions.

1.       Complete Registration Form (form varies from course-to-course and is usually in an online format).

2.       Applicant shall be at least 18 years of age at the completion of EMS and rescue courses and before any clinical time. Fourteen years of age is acceptable for community courses.

3.       Applicant must have a High School Diploma or GED for EMS courses.

4.       Applicant must have a current Missouri Driver’s License for EMS and rescue courses.

5.       Space may be limited and could be on a first-come, first-serve basis. A point system could be utilized for student selection and include such criteria as Southwest volunteer status, answers to questions on the registration form, and residency within EMS response area. Further considerations may be at the discretion of the EMS Division Chief.

6.       Participants may be required to attend an interview with the EMS Division Chief, and/or Lead Instructor.

7.       Students performing skills or clinical time on actual patients will be required to obtain a student ID. Southwest will conduct a criminal background check to ensure no felonies and no drug convictions before issuing ID.


Students who require special assistance should contact the EMS Division Chief and/or Lead Instructor as soon as possible. All efforts will be made to accommodate the special needs of students.


Non-discrimination policy

Southwest makes all decisions regarding student recruitment, selection, retention, and grading practices without discrimination on grounds of race, color, creed, religion, sex, sexual orientation, ancestry, national origin, age, genetic marker, disability, or any other characteristic which lawfully cannot be the basis for an employment decision by state, local, or federal law.


Course fees

Course fees will be established and published with course announcements. At a minimum, the cost of course fees will be due by the first day of class as stipulated in the syllabus for the course.


Textbooks may be required for courses. The required texts will be purchased before each class (textbook title is the decision of the Medical Director and/or EMS Division Chief), and at their cost.

Refund policy

A full refund will be made up to two weeks before the start date of the course less the course registration fee. After that point, reimbursement will be refunded at 75%, and after the start date of the course will be 50% refund will be available up to 2 weeks after the start date of the class. No fees will be returned after the first day of the third week of class. In the case of any refund, all course materials shall be returned by the student in good working order and able to be issued to another student. Refunds should be submitted in writing to the EMS Division Chief or Lead Instructor.


Student withdrawal policy

The student shall submit in writing with date and signature a request to withdraw from the lead instructor. An exit interview shall be conducted with the program director.


Attendance policy


Any time a student must be absent from class, the EMS Division Chief or Instructor should be contacted. Due to the compact time frame of most courses, it is important that all classes are attended. Students are allowed only two excused absences. More than two absences may be the reason for dismissal unless the student can show just cause. Excused absences will be at the discretion of the EMS Division Chief and Instructor.


Any student who is absent is responsible for any and all information, materials, and instructions given during class. The student will be held responsible for material presented and for assignments in the missed class.


Students should realize that tardiness to class is very disruptive and that disciplinary measures may be taken for tardiness. Any student who is tardy more than fifteen minutes on three occasions will have an absence marked on their attendance log.


For online courses attendance shall be met by completing the course work for the week. If at any time the student does not complete or is late, it could be considered an absence and is at the discretion of the course instructor.


Dress code


Violations of the following dress code and behavior code may be grounds for the EMS Division Chief or Instructor to mark the student as absent, excuse the student from the activity, and/or dismiss the student from the program.


During clinical rotations, or lab time, students should wear dark navy or black pants (EMT- style pants preferred), black belt, black shoes (safety boots preferred), and the issued polo-style shirt. If a polo shirt has not been issued for the class, an appropriate blank. Program issued ID badge will be worn at all times during clinical rotations.


Students not wearing the proper uniform will be sent home. Any time patient contact is made, participants with long hair should keep it pulled back; nails should be kept short; and perfume, cologne,


and jewelry should be kept to a minimum. Personal hygiene must be maintained and any jewelry other than small stud earrings must be removed or covered. Additionally, all tattoos must be covered and beards cannot be longer than two inches.


Students are expected to display courteous and professional behavior during classroom, lab, and clinical sessions. Disruptive behavior during a lecture, practical, or clinical session may be grounds for dismissal.


Students are not permitted to leave early or interrupt class with pagers, cell phones, or radios. Students should turn them off, silence them, or not bring them into the classroom. Responders may, at the instructor’s discretion, be allowed to respond to emergencies during class at the request of the Incident Commander.


Class cancellation policy


In the event of course cancellation, for any reason, registrants will be notified immediately, and course fees will be refunded when all course materials are returned. In the event of poor weather, courses will be cancelled at the discretion of the Lead Instructor. In the event that a class is cancelled, that class will be rescheduled, and students should prepare for the next class already on the schedule.


In the event of cancellation, students will be contacted via text message and email.


Online courses do not adhere to a holiday or severe weather cancellation policy. The exception is for online courses that require lab sessions. Lab sessions will be scheduled around holidays and may be subject to cancellation because of weather. Cancellation of lab will be at the discretion of the instructor.


Academic integrity

Academic integrity is vital to the success of the student and the educational program. Quality education leads to quality care. The highest standards of ethical and professional conduct are integral to success in the EMS education. As members of the EMS profession, the student shares a commitment to adhere to the EMS Code of Ethics found at

Professional status as an Emergency Medical Services (EMS) Practitioner is maintained and enriched by the willingness of the individual practitioner to accept and fulfill obligations to society, other medical professionals, and the EMS profession. As an EMS practitioner, I solemnly pledge myself to the following code of professional ethics:

·         To conserve life, alleviate suffering, promote health, do no harm, and encourage the quality and equal availability of emergency medical care.

·         To provide services based on human need, with compassion and respect for human dignity, unrestricted by consideration of nationality, race, creed, color, or status; to not judge the merits of the patient’s request for service, nor allow the patient’s socioeconomic status to influence our demeanor or the care that we provide.

·         To not use professional knowledge and skills in any enterprise detrimental to the public well being.

·         To respect and hold in confidence all information of a confidential nature obtained in the course of professional service unless required by law to divulge such information.

·         To use social media in a responsible and professional manner that does not discredit,


·         dishonor, or embarrass an EMS organization, co-workers, other health care practitioners, patients, individuals or the community at large.

·         To maintain professional competence, always striving for clinical excellence in the delivery of patient care.

·         To assume responsibility for upholding standards of professional practice and education.

·         To assume responsibility for individual professional actions and judgment, both in dependent and independent emergency functions, and to know and uphold the laws which affect the practice of EMS.

·         To be aware of and participate in matters of legislation and regulation affecting EMS.

·         To work cooperatively with EMS associates and other allied healthcare professionals in the best interest of our patients.

·         To refuse participation in unethical procedures, and assume the responsibility to expose incompetence or unethical conduct of others to the appropriate authority in a proper and professional manner.


Student Dismissal


Any violation of the medical ethics for patient care and patient confidentiality will result in a meeting with the Medical Director, Chief, EMS Division Chief, and/or Lead Instructor. The meeting will determine the proper course of discipline or dismissal.


Infractions which may result in disciplinary action or dismissal from the class are:

·         Dishonesty;

·         Cheating in any form;

·         Illegal use of controlled substances;

·         Vulgarity or derogatory language;

·         Harassment of instructors or fellow students;

·         Inappropriate attire is worn for clinical times or field internship or wearing a name tag other than to class, clinical times, or field internship;

·         Breach of patient confidentiality, giving out information, or copying trip sheets;

·         Falsification of any information on student application, records, or evaluations;

·         Violations of absence/tardiness policies;

·         Failure to meet the minimum scholastic, clinical, or field internship requirements as listed in the policies;

·         Unexcused absence from clinicals;

·         Theft of any property;

·         Unprofessional conduct; or

·         Behavior indicating drug or alcohol abuse.

Southwest Training Admin Manual


Appeal and Grievance Procedure


Southwest is responsible for managing and resolving all disputes, complaints, or problems that arise from a course offered by an instructor representing Southwest. The EMS Division Chief and Instructors are responsible for day-to-day operations of training programs. They will become involved in resolving any disputes, complaints, or problems arising from courses taught by Southwest.


Once a student has been dismissed for any of the reasons listed, he/she may seek reinstatement through a personal interview with the Medical Director, Chief, and/or EMS Clinical Officer. If all agree, the student may return for a probationary period to be determined in that meeting. After that probation, the student will be reevaluated and may be fully reinstated, dismissed, or the probationary period extended.


A line of authority shall be followed when a grievance occurs. If there are any problems, students should contact their instructor. If the problem is not resolved or the problem is with the instructor, they should contact the EMS Division Chief. If the problem is still not resolved, they should contact the Chief. If the grievance is not resolved, the student can request an appeal with a committee comprised of Southwest Chief Officers, and the Board of Directors.


Request for appeal must be filed in writing to the program manager with a date and signature within five

(5) business days.


Academic Criteria: Grading and Examination Policies

Students may be assigned homework during the course. Homework may consist of essay papers, reading assignments, take-home quizzes, practical evolutions, etc. Assignments must be turned in by the due date. Late work will not be accepted.

Quizzes, written exams, practical exams, or final exams may be given during the course. All practical exams are Pass/Fail. Grades will be determined as follows:








80 - 89%



70% - 79%

Minimum for passing NREMT and Fire Academy


Below 70%

Not a passing grade. No certificate will be given.


If the student misses an exam (practical or written), the student shall receive a score of zero unless the absence is excused by the EMS Clinical Officer or Lead Instructor. Students will be allowed to retest two times for each practical station failed. Questions regarding test failure should be directed to the Lead Instructor.

 All students will be under constant evaluation for the duration of the course. This will include the listed written testing as well as practical examinations. Students may have a practical check-off sheet that must be completed for course completion. The Medical Director may review all evaluations, written and practical test results, and skill performance sheets at his/her convenience.

Extra credit worksheets or quizzes may be given at any time during class. All extra credit work is voluntary. Any student wishing to complete extra credit work shall have it turned in on time.


Health and safety procedures

Students shall report any dangerous environmental situations or safety hazards to their instructor, preceptor, FTO, and/or clinical educator immediately (i.e. Spills, loose wires, unsafe equipment, etc.).


While working clinical hours, students may occasionally be exposed to communicable or other medical diseases. When performing clinical rotations, students should take appropriate Body Substance Isolation (BSI) precautions. This may include (but is not limited to) gloves, eye shields, and gowns. If a student is exposed to a known case, he/she will be required to report this immediately to the instructor, preceptor, FTO, and/or clinical educator and seek necessary medical treatment.


Any participant who has a communicable disease (common cold, flu, hepatitis, herpes or cold sore,

HIV-related illness, etc.) should not participate in practical skills stations or have direct patient care/contact during the clinical setting. Students must be non-febrile for 24-hours before patient contact. Participants will be expected to attend classes (unless their condition will not permit attendance) and observe others in the practical stations. The student will be expected to practice on his/her own time to maintain skill levels.


When practicing skills, students should operate all equipment appropriately and properly clean all equipment.


The clinical preceptor(s), FTO(s), and clinical educator(s) have final authority over the student during rotations. Students are not permitted to operate any vehicles while on clinical rotations. Students shall always ride in a seated position and wear a seat belt while the vehicle is in motion - this includes in the patient compartment in the back of the ambulance.


If at any time the student performs actions not approved by the preceptor(s), FTO(s), or clinical educator(s), the participant may be sent home or possibly expelled from the course.


Directions given by training personnel should be followed and if not understood, the student should ask for clarification before continuing the task.


Before any clinicals can take place by the student. The student will have the required immunizations. Required Immunizations:

-Hepatitis B vaccine/immunity: A Hepatitis-B vaccine [start of 3 shot series or signed refusal form] Proof of Hepatitis-B vaccine, 3 shot series, positive Hep-B titer, OR signed refusal form

-Measles-Mumps-Rubella (MMR): Proof of MMR vaccine or a positive MMR titer.

-Tuberculosis: A negative TB skin test within three months of the beginning of the course. If you had a positive reaction to a previous skin test, please submit documentation of a negative chest x-ray.

-Varicella: A varicella vaccination (or proof of immunization or a positive varicella titer).

Drug and substance use and abuse


Students under the influence of any illegal substance or alcohol during class will be dismissed and may be subject to further discipline or legal action. Students under the influence of even prescribed and legal substances that may impair judgment, impair reflexes, or cause drowsiness may have certain restrictions placed on them (i.e. cannot participate in laboratory, clinical, or evolutions). Illegal use of controlled substances outside of class can also lead to dismissal. A urine analysis will be preformed prior to the start of clinical shifts.


Photo and video release


I give permission to Southwest or any authorized agency, television or newspaper source to take photos or videos of me. I also give permission to have those photos and/or videos used by CMH in an appropriate manner for the promotion of Southwest, or Southwest EMS Training Entity. I release all rights to the photos and videos and the publications and media in which they are published or aired for Southwest.

Policy manual acknowledgment

My signature below indicates that I have received, read, and understood the policy manual. I agree to follow and adhere to the guidelines set forth by the policy manual, class syllabus, and the instructors. I have received, read, and understood the clinical requirements for the course I am enrolling. I agree to follow and adhere to the guidelines set forth by each course and clinical site. I understand that my final grade will be impacted by my actions or my inactions. I understand that my success or lack thereof is solely my responsibility and not that of the faculty or staff. I take full responsibility for myself and my actions.


As a student, I understand that my performance will be evaluated by faculty, instructors, preceptors, FTOs, and clinical educators in cognitive, psychomotor, and affective domains. I will be informed of the content of these evaluations.


Safety is required of all EMS students. The following are grounds for course failure and may result in dismissal from the course:

·         Preceptor, FTO, or clinical educator refusal to continue working with the student due to clinical safety issues.

·         Inappropriate or unsafe behavior during educational activities that indicates impaired judgment and/or unfit condition for the learning environment.

·         Abuse or inappropriate behavior.

·         Patient neglect.

·         Breach of patient confidentiality (HIPPA).

·         Dishonesty with the patient or own actions.

·         Refusal to follow directions or commands given by preceptors, FTOs, instructors, faculty, or clinical educators that are meant to ensure your safety, other responder’s safety, or patient safety.

·         Other unsafe clinical practice as deemed by faculty.

Certification requirements

To be eligible for National Registry testing, students must have a course grade of at least 70%. The practical exam may be taken up to three times to achieve a passing score. Once the practical exam is passed, the student will be able to take the written exam. Each student will be given a National Registry Certification Requirement Brochure at the beginning of each applicable course.


To be eligible for Missouri State Department of Public Safety - Division of Fire Safety testing, students must have a course grade of at least 70%.


Refer to Missouri Bureau of Emergency Medical Services (BEMS) website ( for information on the scope of practice and licensing requirements to practice as an EMR, EMT, AEMT, or Paramedic in the state of Missouri.


To be eligible for NREMT testing, the student must pass all practical exams by successfully completing all applicable skill checks for the level of licensure currently available on NREMT’s website (


At the end of the course a third-party evaluation testing will be completed to evaluate entry level competency for EMT Basic necessary for graduation. Remedial training will be provided to those who need or require it.