Student Performance Expectations:

1. Clinical times will be announced in the related course syllabus. Internship times, jointly arranged by the student and the CENTER, must be adhered to.
2. Come prepared: Have all readings and assignments completed prior to class. Bring the appropriate textbook, notebook, #2 pencils, and a black pen.
3. Courtesy is expected at all times. Inappropriate behavior toward instructors, invited lecturers, guests, and other students will NOT be tolerated, and is grounds for discipline. All faculty, staff, equipment, patients, and family members at each of the affiliated institutions are to be treated with respect and courtesy.
4. Exams and quizzes are prescheduled; students arriving late may not be allowed to take the exam or quiz. A grade of zero may be recorded for the missed exam or quiz. A make-up exam of different style and/or greater difficulty will be allowed ONLY in the case of DOCUMENTED medical illness, late MEDIC call or death in the immediate family.
   
   In the case of a missed exam, you must notify the CENTER at 704-355-8660 as soon as possible. Students getting off from a late call MUST leave a message at 704-355-8660. Please have your MEDIC preceptor leave this message.
   
   
5. Personal appointments need to be scheduled in advance, not during class time.
6. The dress code is in effect at all CENTER events. There are separate dress codes for class, clinical rotations, and internship sessions that must be followed. If you are inappropriately dressed, you may be dismissed from the class, clinical, or internship session. Opportunity to make up the missed session may not be available.
7. Program standards require 90% attendance of each course. If you are going to be absent or late, call 704-355-8660 as soon as possible. If no one is available to answer your call, leave a voice message stating that you are a student, including your name, nature of the emergency, and contact phone number.
   
   Absence from class without timely notification is grounds for dismissal from the Paramedic Program.
   
   
8. Any student requiring help on a particular subject or wishing to discuss a particular case in depth may schedule an appointment with the instructor. Classroom time has been carefully planned to meet curriculum needs, and class time spent on lengthy discussions of related experiences should be limited. Instructor conferences may be scheduled by calling the CENTER.
9. For the duration of the Program, any misconduct, dress code violation, or tardiness will be managed as follows:
   First Infraction: Verbal warning; Second Infraction: Written warning; Third Infraction: Written warning and meeting with the Director of Prehospital Education; Fourth Infraction: Dismissal from the Program

Expected Outcomes
The Emergency Medical Technician-Paramedic (EMT-P) provides prehospital emergency care under medical command authority to acutely ill and/or injured patients and/or transports patients by ambulance or other appropriate emergency vehicle. The EMT-P should demonstrate:

• An awareness of abilities and limitations;
• the ability to relate to people; and
• the capacity to make rational patient-care decisions under stress.

Clinical Activities
Any student-patient interaction that occurs as a result of the Paramedic Program must be supervised. No student may perform any intervention during a clinical rotation above the EMT-B level without the supervision of a medical professional approved by the program. Such persons include designated Carolinas Medical Center physicians, nurses, respiratory therapists, physician assistants and designated preceptors. During field internship at MEDIC, BLS and ALS procedures may be performed when the student is assigned to a field-training officer (FTO), crew chief, Medical Director or EMS Fellow. Advanced procedures include any intervention above EMT-Basic level. In selected instances, the Medical Director's designee may provide direct medical oversight to a paramedic student.

When working outside the programs clinical rotations, the student is restricted by North Carolina State Law and may only practice at the level they are currently certified (i.e.: EMT-B, EMT-I).

If a student performs any procedure above his/her level, immediate Dismissal (with no re-entry) may result.

Dress Code
In order to maintain a professional image, dress code guidelines are to be followed by all students at Carolinas Medical Center, Carolinas College of Health Sciences, and Mecklenburg County Emergency Medical Service Agency. Any questions concerning these guidelines should be addressed to program faculty.

Clinical Rotations

• Uniform requirements will be announced prior to clinical rotations and internship, and must be followed. Uniforms must be clean, pressed, and in good repair. Two black pens should be brought to every clinical and internship session.
• Shoes or boots must be clean and of a non-porous material (e.g. leather or vinyl), closed toe, and of a rugged nature. Not acceptable: clogs, canvas shoes, sandals.
• Prior to clinical rotations and internship, student ID badges will be issued and must be worn at all clinical rotations, internship sessions and when appearing on CMC's campus for any reason related to the Paramedic Program. Badges must be in good repair and worn above the waist; badges may not be altered in any way.
• Hair should be neat and clean; secured and pulled back if long (touching the shoulders).

• Dress navy / black pants must be similar to those worn by MEDIC. BDU pants with multiple pockets are not acceptable. A black belt must be worn.
• A light blue uniform shirt [like MEDIC] will be worn with the program patch and student rocker neatly sewn 2 inches from the seam on the LEFT sleeve. Non-program patches, EMT-B patches, pins or devices will not be placed on the uniform shirt.
• The white lab coat is expected to be worn in all clinical areas (except OB). The Carolinas Medical Center identification nametag is to be placed on the left pocket. Non-program patches, pins or devices will not be placed on the lab jacket. Under selected instances, a preceptor may temporarily waive the wear of the lab coat (i.e.: heat, trauma room participation). In this instance, the ID nametag will be worn on the left shirt pocket.
• Black shoes or boots must be clean and of a non-porous material (e.g. leather or vinyl), closed toe and of a rugged nature. Not acceptable are clogs, canvas shoes and sandals.
• Uniforms must be clean, pressed and in good repair. Two black pens, notepad and a stethoscope should be brought to every clinical session.
• Hair should be neat and clean; secured and pulled back, if long (touching the shoulders).
• A student may be sent home from clinical in the event a preceptor ascertains the student does not project a neat, professional appearance.

Licensure
Paramedic students are required to maintain all Basic Life Support (BLS) certifications required by the state of North Carolina in order to participate and progress through the Paramedic Program. Failure to maintain EMT-B and/or CPR currency may be grounds for suspension and subsequent dismissal from the Program. Most jurisdictions will accept paramedic education as fulfillment of the EMT-B didactic continuing education requirements. Students are encouraged to review with their respective EMS agencies specific re-certification requirements.