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Thank you for your interest in sponsoring a Fundamental Critical Care Support (FCCS) provider course. The suggestions and guidelines below are intended to assist you in planning for your course. The Hospital Relations Team at the Society of Critical Care (SCCM) will also be happy to answer questions or to discuss your plans with you. The Hospital Relations Team can be reached by telephone (847) 827-6869, fax (847) 827-6886, or internet: fccs@sccm.org.

I. Overview of Administrative Process

II. Participant Interest

III. Program Costs Paid to SCCM

IV. Skill Station Equipment Required

V. Copyright

VI. Marketing

VII. Overall Course Design and Responsibilities

VIII. Continuing Medical Education Credits

I. Overview of Administrative Process

    • Application submitted (online or paper)
    • Program costs paid to SCCM (section III)
    • Course materials forwarded to approved course sponsor:
    • Administrative binder
    • CD-ROM lecture presentations
    • Skill station worksheets
    • Course conducted
    • Final course data mailed to FCCS Coordinator at SCCM
    • SCCM issues Certificate of Successful Completion to successful participants
    • SCCM maintains database of United States FCCS providers/instructors and
       international instructors.

II. Participant Interest

     Target Audience

• Advanced practice nurses
• Critical care fellows beginning their training
• Emergency medicine physicians
• Nurses
• Emergency medical technicians
• Pre-hospital providers with lengthy patient transfer
• Primary care physicians
• Physician assistants
• Residents in training
• Rapid Response / Medical Emergency Team Member

III. Program Costs Paid to SCCM

New Pricing Structure Now Available
Contact the SCCM Hospital Relations Team at
fccs@sccm.org

Prices are subject to change without notice. Payment must be received before course materials are shipped.



IV. Skill Station Equipment Required 

·         Airway Management
Airway mannequins –maximum of 4 participants per mannequin (recommended)
Oro and nasopharyngeal airways
Endotracheal tubes, syringes, stylets, Magill forceps
Laryngoscope(s) and blades (1 curved and 1 straight per mannequin)
Resuscitation bags and masks
Needle and surgical cricothyrotomy kits
Adhesive tape to demonstrate taping endotracheal tube or tube holder
Adjunctive airway devices: tracheoesophageal combitube, laryngeal mask airway (LMA), intubating LMA
CO2 detectors
Oximeters (optional)
Cervical collars for mannequins (optional) 

·         Noninvasive Positive Pressure Ventilation
Mask interface (nasal, oronasal and/or full face masks)
Helmet
Ventilator
Nasal cannula and tubing
Test lung
Gas source(s) as required to power ventilator 

·         Mechanical Ventilation (A, B, C)
Ventilator (graphic display on ventilator preferred)
Circuitry tubing with interface for test lung
Test lung capable of altering resistance and compliance
Gas source(s) as required to power ventilator 

·         Vascular Access
Central venous line mannequin(s)
Representative central line kits with needle-wire catheter
Other central line kits considered representative of local/regional use
Intra-osseous gun and needles or other methods used for intra–osseous placement (if available)
Venous ultrasonagraphy (if available) 

·         Acute Coronary Syndromes
ECG demonstrating STEMI
Arrhythmia simulator (optional)
Monitor with paper print-out (optional)
Extra paper for monitor (optional) 

·         Trauma
Chalk board or paper flip chart
Chalk or markers 

·         Shock
Chalk board or paper flip chart
Chalk or markers 

Mega Skills (optional) 

Simulator with four scenarios (shock, trauma, ACS, neuro)
Integrated vascular and airway access equipment 

OR 

Simulation using simple methods
Case studies in PowerPoint or on chalk or dry erase board
Sample ECGs showing acute myocardial infarction (AMI)

Disclaimer

SCCM will issue a Certificate of Successful Completion for the course. Neither the SCCM, FCCS Program Committee, nor FCCS instructors certify competency or any level of knowledge or procedural skill following the provider course. It is highly recommended that you also avoid such terminology in your discussions with participants and through your marketing. The recommended terminology avoids the terms "certified or competency" but emphasizes the benefits of new knowledge and limited exposure to selected procedures. The course participants must be aware that the course is not intended to provide expertise in the care of critically ill and injured patients, but to provide some knowledge and skills to assist them in patient care prior to transfer or until critical care consultation is available. The Society also cannot be responsible for any curriculum material added to the course by individual instructors or course directors.

V. Copyright


All course materials are copyrighted by SCCM and cannot be reproduced or used outside the instructor/provider curriculum. The single exception is the textbook which may be sold separately as a reference textbook. Audio or video recording during the course is prohibited by participants.

VI. Marketing

A. SCCM will publicize your course or courses in the calendar section of the
    SCCM Web Site, CCM Journal, and course schedules mailed from the Mount
    Prospect office.

B. Upon request, you will receive an electronic brochure template for your
    course promotional mailings. The template brochure is complete except for
    the particular information about your course, location, faculty, schedule,
    and costs. There are blank spaces left for your staff to slip this in and run
    off all of the copies that you will need.

C. Although regional courses are possible, this course is not meant to be
    publicized to a large area but to fulfill the needs of those that you have
    identified in your immediate locale.


VII. Overall Course Design and Responsibilities

A. Modular design concept:
    The curriculum is presented as a series of largely independent subject
    sections or modules. This organization allows emphasis or de-emphasis
    of some modules according to the existing knowledge base of the
    participants.For example, if the participants are all ATLS or ACLS
    recently certified, the basic trauma management lecture or airway and
    CPR modules may be respectively eliminated or de-emphasized.  It is
    important, however, to remind the participants that the post-test will
    include material from these areas and that those sections of the
    textbook should be carefully read. All other course material should be
    presented. Information about pediatric patients may be incorporated
    into each lecture/skill station where applicable or maybe presented as
    a separate lecture covering all unique pediatrici ssues.

    Although this course is normally given in two days, it is possible to have
    a modular schedule and spread the course over a longer period if
    that seems necessary for your needs.

B. Instructor latitude:
    In order to assure the quality and integrity of the standardized FCCS
    curriculum, instructors must present the course content according to
    the textbook, CD-ROM, and skill station lesson plans.   Personal bias
    should not bepresented.

C. Course Personnel

1. FCCS Course Consultant - An SCCM-approved instructor experienced in the
   deliveryand management of the FCCS program who serves as a planning
   and on-site resource to the Course Director.  The FCCS Course Consultant is
   required for the first course only, for at least one day of the two day course.

2. Course Director - An FCCS instructor who assumes faculty leadership and
   assures the course is conducted according to SCCM standards. Has full
   responsibility for course quality.

a) Determines pass/fail standards for skill stations, attendance and other
    aspects of course, except for the post-test.

b) Presents introductory lecture reviewing purpose of course and expectations
   of participants (70% correct on post-test; satisfactory passing of skill 
   stations).

c) Is present for entire course and participates in a substantial portion.

d) Presents final decision during any conflicts throughout the course and is
    liaison to SCCM for any appeals/grievance initiated by participants.

e) Assumes responsibility for approving pre-course planning, course
    coordination, arrangements, etc.

3. Faculty - Please see instructor criteria.  A minimum of three faculty is
   logistically necessary for the course.  SCCM requires at least two FCCS
   Instructors on the faculty for any FCCS course, or one FCCS Instructor
   (the course director) and two FCCS Associate Instructors.  SCCM
   recommends 50% of the faculty be FCCS trained. The other 50% of the
   faculty should be from the sponsoring institution and represent as many
   specialties as possible.  A multiprofessional approach is recommended.

4. Course Coordinator - usually a non-physician to whom the clerical and 
   logistical responsibilities are delegated.  If this person has not had the
   experience of ATLS or ACLS, they need to work closely with the Hospital
   Relations Specialist of the SCCM office and an experienced course manager.
   The course director must be immediately available for assistance.

VIII. Continuing Education Credits
SCCM does not have direct involvement (coordination of faculty, participants, budgets, etc.) therefore SCCM cannot take responsibility for issuing CME/CE credit to course participants.  If the hospital or course sponsor is a national or state accredited CME/CE provider, they may wish to grant CME/CE credit for their FCCS course. Typical credit for a 2-day course would be 15.75 CME's for physicians, 18.5 contact hours for nurses and pharmacists.

Thank you again for your interest in the FCCS program. If you have questions, please contact the FCCS Hospital Relations Specialist, at (847) 827-6869, 8:00 a.m. - 5:00 p.m. Central Time.


Lecture Topics  

  • Assessment of the Seriously Ill Patient
  • Airway Management
  • Cardiopulmonary/Cerebral Resuscitation
  • Diagnosis and Management of Acute Respiratory Failure
  • Mechanical Ventilation I
  • Mechanical Ventilation II
  • Monitoring Blood Flow, Oxygenation, and Acid-Base Status
  • Diagnosis and Management of Shock
  • Acute Coronary Syndromes
  • Neurologic Support
  • Basic Trauma and Burn Support
  • Life-Threatening Infections: Diagnosis and Antimicrobial Therapy Selection
  • Management of Life-Threatening Electrolyte and Metabolic Disturbances
  • Special Considerations
  • Critical Care in Pregnancy
  • Ethics in Critical Care Medicine
  • Critical Care in Infants and Children: The Basics


Skill Stations 

  • Airway Management
  • Noninvasive Positive Pressure Ventilation (NPPV)
  • Mechanical Ventilation A: Indications for mechanical ventilation & ventilator prescription
  • Mechanical Ventilation B:  Trouble shooting ventilators; high pressure alarms
  • Mechanical Ventilation C:  Application of mechanical ventilation in selected disease states
  • Acute Coronary Syndromes
  • Shock
  • Trauma and Burn Support
  • Vascular Access
     

Sample Course Schedule
If you are planning a course, please note that every program can be adapted to fit the educational needs and schedules of the participants. Most FCCS courses follow a two day format. However, some choose to arrange their program differently, as shown in the examples at the right. When arranging your schedule, remember that the topics in bold must always be included.

The schedule listed below follows the two day format used by most FCCS courses.

Day 1

 

7:30 am - 8:00 am

Welcome/FCCS Overview

8:00 am - 8:30 am

Airway Management*

8:30 am - 9:00 am

Cardiopulmonary/Cerebral Resuscitation**

9:00 am - 9:30 am

Diagnosis and Management of Acute Respiratory Failure

9:30 am - 10:00 am

Mechanical Ventilation I

10:00 am - 10:15 am

BREAK

10:15 am - 11:00 am

Mechanical Ventilation II

11:00 am - 11:30 am

Monitoring Blood Flow, Oxygenation and Acid-Base Status

11:30 am - 12:00 pm

Diagnosis and Management of Shock

12:00 pm - 1:00 pm

Lunch/Instructor Curriculum

1:00 pm - 1:30 pm

Acute Coronary Syndromes**

1:30 pm - 2:00 pm

Assessment of the Seriously Ill Patient

2:00 pm - 5:00 pm

Skill Stations**

·         Airway Management*

·         Noninvasive Positive Pressure Ventilation

·         Vascular Access***

·         Mechanical Ventilation A

·         Acute Coronary Syndromes

Day 2

8:00 am - 8:30 am

Neurologic Support

8:30 am - 9:00 am

Basic Trauma and Burn Support

9:00 am - 9:30 am

Life-Threatening Infections:  Diagnosis and Antibiotic Selection

9:30 am - 10:00 am

Management of Life-Threatening Electrolyte and Metabolic Disturbances

10:00 am - 10:15 am

BREAK

10:15 am - 10:45 am

Special Considerations

10:45 am - 11:15 am

Critical Care in Pregnancy

11:15 am - 11:45 am

Ethics in Critical Care Medicine

11:45 am - 12:15 pm

Critical Care in Infants and Children:  The Basics

12:15 pm - 1:15 pm

Lunch/Instructor Curriculum (if not completed on Day 1)

1:15 pm - 4:15 pm

Skill Stations

·         Mechanical Ventilation B

·         Mechanical Ventilation C

·         Shock

·         Trauma/Burns***

4:15 pm - 5:30 pm

Post Test and Course Evaluation

 

**Skill Station time can vary from 45 to 75 minutes depending on the participant's needs and time availability. Lecture times may also vary depending on the inclusion of optional slides. The Post test  is not timed, however most participants will complete their test within one hour.   It is a proctored, closed book examination.

*     May be eliminated if ALL participants are ACLS or ATLS certified.
**   May be eliminated if ALL participants are ALCS certified.
*** May be eliminated if ALL participants are ATLC certified.

© Copyright 2001 - 2010 Society of Critical Care Medicine