Reading: Class Rules, Code of Conduct, and Professionalism

Reading: Class Rules, Code of Conduct, and Professionalism

**Code of Conduct** Every student in this course is expected to behave as a healthcare provider — because that is what you are becoming. The standards applied here are the same standards applied in the field, in the hospital, and at the NREMT exam site. Professionalism is not a soft skill; it is a core clinical competency. **Classroom Conduct** Arrive on time. Late arrivals disrupt the learning environment and may result in being marked absent for that session. Silence your phone before class — not on vibrate, silenced. If you have a genuine emergency requiring you to keep your phone available, notify your instructor before class begins. Engage respectfully in all discussions. EMS attracts people from all backgrounds. You will work with and learn from people whose life experiences are different from yours. Respectful disagreement is welcome; disrespect is not. This extends to discussions about patient care — when scenarios involve sensitive topics (mental health, substance use, domestic violence), approach them with the same professional neutrality you would bring to an actual call. **Respectful Patient Care and Simulation** Simulation scenarios — where you practice on mannequins or role-playing classmates — are treated as real. When you are the acting EMT in a scenario, you stay in role. When you are playing a patient, you give realistic information and cooperate with the assessment. Breaking scenarios to ask unrelated questions or laughing off a "bad" patient outcome undermines your preparation and your classmates' preparation. When practicing on classmates (listening to breath sounds, taking blood pressure, doing physical assessments), maintain professionalism and respect personal boundaries. If a classmate is not comfortable with a particular assessment during practice, that boundary is respected without question. **Academic Honesty (Expanded)** This was addressed in the grading reading, but it bears repeating with context. When you take care of a real patient, no one is there to give you the answer. The only thing that helps a patient in cardiac arrest at 2 AM is what you genuinely know and can perform under pressure. Every time you cheat in this course, you are building a false sense of competency that will fail you — and your patients — in the field. Do the work. Know the material for real. **Scope of Practice and Legal Responsibility** Even as a student, you are bound by scope of practice rules. During ride time and clinical rotations, you may only perform skills that you have been trained in and that are authorized by your clinical site's protocols and the supervising provider on scene. Performing unauthorized interventions — even ones you have seen done — is practicing medicine without authorization and exposes you and your program to liability. If you are unsure whether something is within your scope, ask your supervising provider or preceptor before acting. "I wasn't sure, so I checked" is always the correct answer. "I figured it was fine" is never acceptable.

Stop and Think

Why is professionalism described as a "core clinical competency" rather than just a classroom rule? Give a specific example from EMS that illustrates this.

Model Answer: Professionalism is a clinical competency because how an EMT conducts themselves directly affects patient care, team communication, and public trust in EMS — it is not just about politeness. For example, when responding to a call involving a patient experiencing a mental health crisis, an EMT who maintains a calm, neutral, and respectful demeanor is more likely to de-escalate the situation and gain the patient's cooperation than one who is dismissive or condescending. That behavioral competency changes the clinical outcome of the call.

Stop and Think

What does "scope of practice" mean for an EMT student during clinical rotations? What should you do if a paramedic asks you to perform a skill you haven't been trained on?

Model Answer: Scope of practice for an EMT student during clinical rotations means the student may only perform skills they have been trained in and that are authorized by the clinical site's protocols and the supervising provider on scene. If a paramedic asks a student to perform a skill outside that scope — even a skill the student has watched or is curious about — the correct response is to check before acting, explaining that the skill has not yet been covered in training and asking whether it is authorized. Saying "I wasn't sure, so I checked" is always the right answer; performing an unauthorized skill exposes the student and the program to serious liability.

Stop and Think

Explain in your own words why cheating on an EMT quiz is different from cheating on a history test. What are the real-world stakes?

Model Answer: Cheating on a history test produces a false grade that misrepresents academic performance; the real-world consequence is limited. Cheating on an EMT quiz produces a false sense of clinical competency — the student believes they know something they do not actually know, and that gap does not stay in the classroom. When that student responds to a cardiac arrest or a pediatric airway emergency, the knowledge they never genuinely learned is the knowledge that was supposed to keep the patient alive. The real-world stake is patient harm or death caused by a provider who was certified but not actually competent.

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