EMS Field Training and Evaluation Program

Summit County Pre-hospital Emergency Medical Services

EMS Field Training

and Evaluation Program

Emergency Medical Services Advisory Group Updated 3/6/2019

Summit County EMS Field Training and Evaluation Program

(FTEP)

Trainee

Field Training Officer (FTO)

Date Issued

Date Completed

FTO Signature

Date Approved

Agency FTEP Coordinator

By accepting this Phase Guide and signing below, I agree to complete all tasks, steps, and objectives (or those assigned to me) in this task book to the satisfaction of my assigned Field Training Officer and/or FTEP Coordinator in the allotted time described within this workbook. I have read the guidelines outlined in the Summit County EMS Phase Guide and know that it is my responsibility to notify my FTEP Coordinator if I feel that I am unable to keep up, or complete the workbook. Trainee signature:_____________________________Date:_________

*Upon completion, return this book to your FTEP Coordinator.

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Summit County EMS Phase Guide

Program Overview The purpose of this program is to systematically train an employee, of any of the Summit County Emergency Services, in the operations and standards of EMS. It will be used with new hires and employees that earn a higher EMS certification.

Role Descriptions and Responsibilities I. Trainee

The trainee is a student, typically a new hire, of Summit County EMS and should show a strong desire to learn throughout this program. The trainee will understand that success in the program is their own responsibility.

II. Field Training Officer (FTO) The FTO is tasked with assimilating the candidate into Summit County EMS for their perspective department. This is accomplished through acting as an educator, evaluator and role model.

A. Educator- The FTO will provide the information needed for the candidate to operate in our system. This can be clarification on protocol, location of equipment and remediation when required.

B. Evaluator- The FTO will evaluate the candidate for skill and knowledge competency through the use of Daily Observation Reports.

C. Role Model- The FTO will provide an appropriate model to act from, professionalism, enthusiasm for the job, adherence to protocol and teamwork.

III. Crew The crew will be the main support for the medic unit during EMS calls and day to day tasks. They will provide a role model for the trainee regarding teamwork and cohesiveness.

A. Provide support to the process and be engaged in the trainings.

IV. FTEP Coordinators The FTEP Coordinator for each agency will oversee the progress of each trainee from their agency. Responsibilities include:

A. Maintain and track record of trainee’s progress B. Provide support to the trainee, FTO and crew in the FTEP process C. Ensure compliance with the FTEP program by the trainee, FTO, and crew D. Intervene if a trainee is failing to respond to training. E. Regularly meet with trainee to discuss progress and offer assistance as needed F. Keep agency command staff up to date on the progress of the trainee through the

process G. Makes the recommendation to the Agency Command Staff and Medical Director if a

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trainee has met all the requirements of the FTEP program and should be released from training

V. Agency Command Staff

A. Provide support to the trainee, FTO, crew, FTEP Coordinator, and FTEP program. B. Resource/Access for the education and evaluation of the trainee C. Provide final approval for release from training program based on the recommendation

of the FTEP Coordinator

VI. Medical Director

A. Provide support to the trainee, FTO, crew, FTEP Coordinator, and FTEP program B. Resource/Access for the education of the trainee

Training Phases The intent of the field training period is for the trainee to progress from a role of observer through skill use and directing care to an ability to act a as team leader for EMS calls. This is accomplished through a supervised EMS evaluation and field training phase, followed by an unsupervised EMS evaluation phase.

I. Supervised Training Phase

The purpose of the supervised period is to provide a venue and program that allows the FTO to properly educate and evaluate the trainee. Supervised period means that each new candidate shall only perform patient care under the direct supervision of an FTO of equal or higher certification.

A. The trainee must remain supervised as the second attendant on an EMS call B. There is no specified timeframe to complete the supervised training period as it will be at

discretion of the FTO and FTEP coordinator and established by each agency. The fire apparatus category and medic category may each take a recommended maximum of 60 days, and recommended minimum of 30 days.

C. FTO will complete a daily observation report (DOR) for each shift in this period. A copy of which will be given to the trainee after signing an agreement. This Task Book must be completed satisfactorily prior to the end of the supervised period and be approved the agency FTEP Coordinator.

D. The trainee and a FTO must attend at least one CQI meeting E. End of the supervised period will occur when the following has been accomplished:

1. The time frame requirement must be met 2. This workbook must have been completed satisfactorily

a) skill evaluation may be completed from a review of skills performed on EMS calls or from skill testing during shift training

3. A passing score of 80% on the Denver Metro protocol test. Trainee may utilize protocol book during test

4. Meeting with the FTEP Coordinator for final approval for released to unsupervised training

5. Failure to accomplish any of the above requirements will result in an extension of the supervised period for a time period to be determined by the Agency FTEP

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Coordinator 6. Evaluation of FTO completed

II. Unsupervised Training Phase The purpose of the unsupervised training period is to allow the candidate to further their knowledge and comfort operating in the Summit County EMS System while developing independence in their practice. The trainee will ride as a second provider with an FTO on the medic unit. This phase could last up to 120 days, or approximately sixteen 24-hour shifts depending on experience and at the discretion of each agency.

A. The trainee should provide care as the team lead during this period B. Providers will continue to meet each month with the agency FTEP Coordinator to

discuss progress. C. FTO will complete a daily observation report for each shift in this period.

III. Failure to Respond to Training The FTEP Coordinator based on the evaluations of the FTOs may determine the trainee is failing to respond to training. The FTEP Coordinator will develop a performance improvement plan to provide guidance and a timeline for the trainee to meet the minimum standard of the program.

IV. Release from the FTEP Program A. The FTEP Coordinator will determine if a trainee is ready for release from the FTEP

Program based on recommendation of the FTO. B. The FTEP Coordinator will provide a written recommendation to the Agency Command

Staff recommending the trainee be released from the FTEP program. C. Trainees will not be released from the program until approved by the Agency Command

staff.

V. Termination of Field Training The field training orientation may be terminated before completion for the following reasons

A. Failure to respond to training and/or any performance plan that was developed for the trainee by the FTEP Coordinator.

B. Failure to successfully complete the requirements for completion of the FTEP Program C. Failure to pass the protocol test and/or the skills performance test in 3 tries D. Failure to complete the FTEP Program in one year. This requirement may be waived in

extreme circumstance at the sole discretion of the Agency FTEP Coordinator Any termination of the training period prior to completion shall be made in writing and copies provided to the trainee, the agency and a copy kept by the hiring authority.

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Operations/ EMS System Upon successful completion, the FTO should initial each task. The initial indicates proficiency in the task has been demonstrated, not just reviewed.

● If trainee is working only on a medic, complete all tasks with an “M” or “F or M” and circle the “M”.

● If a trainee is with SFE, start with all the boxes with a “F” first to work on a Engine/Truck.

● A box with “F & M” is for a SFE trainee to work both fire apparatus and a medic unit, and must cover for both vehicles as they may be different.

● A box marked “F or M” can be covered by either/or fire apparatus or medic and should only be covered once.

OBJECTIVE 1: SYSTEM OVERVIEW circle initial date

1 M Discuss call types (911, in county IFT, out of county IFT, first aid room transfers and outside transfers)

2 M Mutual Aid partners (giving and receiving aid, how to call for mutual aid through command(if on scene) or dispatch if not yet on scene)

3 M Review the System Status Plan and how to respond to the needs of the County

4 F & M / / Review SOG’s

5 F & M / / Seatbelt use

6 F or M How to initiate injury/workers comp process

7 F or M How to initiate report of damage to department vehicle process

OBJECTIVE 2: APPARATUS FAMILIARIZATION circle initial date

1 M Review apparatus operation manual and be familiar with fluids to check,tire pressure and lights

2 M Demonstrate operation of parking brake, 4 wheel drive, glow plugs, engine brake, down shifting, and on-spots

3 M Review Emergency lights, siren, opticom

4 M Demonstrate ability to control HVAC in the cab and patient compartment

5 F or M Review agency expectations for the on-coming and off-going crew

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OBJECTIVE 3: APPARATUS INVENTORY circle Initial date

1 F & M / / Identify which items should be checked daily and at what point during the shift

2 F & M / / Demonstrate knowledge of the EMS supplies process

3 F & M / / Conduct (3) monthly inventories of the apparatus utilizing appropriate agency form

Conduct (3) monthly inventories of each applicable apparatus utilizing appropriate agency form and initial when complete:

initial date initial date

1 F M

2 F M

3 F M

OBJECTIVE 4: COMMUNICATIONS circle initial date

1 F or M Complete a 1 hour orientation with Summit County Dispatch(970-668-8301 to schedule) Date and time scheduled:________________________________________________

2 F & M / / Demonstrate the use of the apparatus cell phone

3 F & M / / Demonstrate familiarity with dispatch procedures and ongoing communications during an EMS call, both 911 and IFT

4 F & M / / Review the use of the station alert system

VHF AND 800 MHz RADIO EQUIPMENT circle initial date

1 M Locate and operate both VHF and 800 MHz mobile radio. Understand radio channel designations and their purpose, simplex vs repeated, repeater locations, how to change banks, and strength difference of mobile and portable radios

2 F & M / / Locate and operate both VHF and 800 MHz portable radios.Demonstrate changing the battery

3 F & M / / Identify how to communicate with other agencies and demonstrate knowledge of appropriate command and operation channels:Flights, SCAS, SFE and RWB; all law agencies

4 F or M Recite radio procedure for communication with SCCC

5 F or M Practice and be comfortable with communicating on the radio with dispatch and other units

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OBJECTIVE 5: DISTRICT FAMILIARIZATION circle initial date

1 M Demonstrate the ability to use the MDC and the mapping software

2 M Complete locations checklist

3 M Map test

4 F & M / / Understand the location of your map books and how to use them

5 F or M Know the boundaries of each Engine and Medic district

6 F or M Know the locations of each ES station in Summit County

OBJECTIVE 6: PATIENT HANDLING

Proper Lifting Techniques circle initial date

1 F or M Discuss proper body mechanics while lifting, use of multiple people and proper communication

Power Load/Power Pro Cot circle initial date

1 F or M Watch a training video on the PowerLoad and Power Pro Cot by Stryker

2 F or M Watch a training video on the PowerLoad and Power Pro Cot by Stryker

3 F or M Demonstrate safe movement of Power Pro Cot with all terrain considerations

4 F or M Demonstrate how to manage power failure of both Power Pro Cot and PowerLoad

5 F or M Demonstrate proper loading of Power Pro Cot in all terrains into ambulance.

6 F or M Demonstrate ability to operate auxiliary release switches on PowerLoad

7 F or M Demonstrate ability to use the Power Pro Cot with a transport vehicle that does not have a PowerLoad system.

Other patient handling systems circle initial date

1 M How/if/when to handle double transports (SCAS chaise lounge)

2 M Discuss transport of handcuffed patient

3 F or M Demonstrate use of soft restraints, pre-attached gurney soft restraints, backboard soft restraints

4 F or M Demonstrate proper patient immobilization and movement via scoop stretcher

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5 F or M Demonstrate proper patient immobilization on backboards

6 F or M Demonstrate proper patient loading and movement with Reeves

7 F or M Watch a training video on the Stryker Stairchair

8 F or M Demonstrate proper use of Stryker Stairchair

OBJECTIVE 7: COMMUNICABLE DISEASE circle initial date

1 F & M / / Review biohazard disposal procedures

2 F & M / / Review the infectious disease/ isolation kits

3 F & M / / Review the process and location in which sharps containers are to be disposed

4 F & M / / Describe proper handling of needles and locations of sharps containers

5 F or M Describe decontamination procedure for personnel and equipment

6 F or M Explain the procedure if an exposure should occur

7 F or M Review infection control practices and procedures

OBJECTIVE 8: HIPAA

circle initial date

1 F or M Complete agency specific HIPAA training

2 F or M Discuss the use of personal social media sites and our job

OBJECTIVE 9: ABILITY TO WORK AS A TEAM MEMBER

circle initial date

1 F & M / / Discuss self-initiative in completing all call related duties

2 F & M / / Daily/Weekly/Monthly chores/checklists around station

3 F or M Workplace discrimination and harassment training

4 F or M Discuss how to interact professionally with shift, transport agencies, and other allied health personnel

5 F or M Discuss how to avoid scene disputes and resolve such disputes retrospectively

6 F or M Discuss how to receive and utilize constructive criticism

OBJECTIVE 10: SCENE MANAGEMENT, SAFETY AND SITUATIONAL AWARENESS

circle initial date

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1 F or M Identify the importance of scene safety and situational awareness

2 F or M Discuss tactical positioning strategies on unstable scenes

3 F or M Discuss the radio communication procedures for requesting help from law enforcement and monitoring the law enforcement channels

4 F or M Identify procedures for restraining a patient, and the documentation that must follow

5 F or M Describe the procedure you must follow in the event you are injured by a violent patient. Include both your agency policy and Medical Advisor policy

6 F or M Identify strategies in de-escalation of potentially violent patients

7 F or M Describe “reactionary gap or defensible space”

8 F or M Discuss scene indicators that may lead to a potential unstable scene

9 F or M Discuss how your personal attitude and mindset can influence scene safety and situational awareness.

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F or M Review your agency’s policy on Hazmat calls

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F or M Review the use of ICS on every scene

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F or M Successfully demonstrate competency in 3 scenarios, developed by your FTO, involving safety / situational awareness.

OBJECTIVE 11: HOSPITAL COMMUNICATION circle initial date

1 F & M / / Identify minimum information required for on-line medical control

2 F & M / / Identify methods (phone and radio) for on-line Medical Direction contact, simulate contact

3 M Explain the destination guideline (additional discussion specific to Trauma, Cardiac, Pediatrics, ETOH, Sepsis, Burn and MI patients)

4 M Demonstrate phone and radio report procedures for the destination hospital

5 M Recite minimum patient information to be reported to the destination hospital for Critical and Emergent Trauma patients

6 M Denver hospital reports including knowledge of phone number reference

7 M Demonstrate knowledge of additional county medical facility phone numbers:

Keystone Medical Center

Breckenridge Medical Center

Copper Mountain Medical Center

Peak 8 First Aid Room(FAR)

A-Basin First Aid Room(FAR)

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OBJECTIVE 12: MCI circle initial date

1 F or M Define “Multiple Casualty Incident” and review the County response guideline.

2 F or M Explain the different roles of groups during an MCI.

3 F or M Explain the Incident Command System(ICS).

4 F or M Explain START with RPM and JumpSTART triage.

5 F & M / / Locate triage kit and explain contents.

OBJECTIVE 13: Documentation / Reporting Procedures circle initial date

1 F & M / / Review of all hard copy and electronic documentation required for EMS patient transports

2 F & M / / Access patient care reporting system through desktop and field computers

3 F & M / / Review all fields and entries for Basic Incident Report

4 F Review all fields and entries for NFIRS Report (if applicable)

5 F & M / / Review all fields and entries for Patient Care Report (PCR) including how to attach the necessary documents

6 F & M / / Complete scenario specific training PCR’s in the patient care reporting system

7 F & M / / Explain the PCR review process

8 F or M Explain the role of the Continuous Quality Improvement (CQI) process

9 F or M Review the process to write a UCR/incident report

OBJECTIVE 14: INTERFACILITY TRANSPORTS circle initial date

1 M Review the paperwork associated with IFT’s (EMTALA, orders, facesheet, sticker, Physician

Certification Statement, mental health holds)

2 M Review the levels of care for IFT’s (Advanced Paramedic, Paramedic+, Paramedic, Basic)

3 M Review the IFT protocols and allowed medications list

4 M Review FFL Terra 2 procedures and paperwork and documentation required

5 M Review flight shuttles, procedures, paperwork and documentation required

6 F or M Standing down FFL - helicopter or ground unit (Not able to stand down flights if called by third party

without direct communication with Flight RN)

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OBJECTIVE 15: PATIENT REFUSAL circle initial date

1 F or M Explain refusal procedure for an alert adult patient who the EMT feels should be transported

2 F or M Explain refusal procedure for an adult patient with an altered level of consciousness

3 F & M / / Complete a patient refusal form

4 F or M Review “Refusal” protocol, address the situation of a parent refusing for a child and the situation where a parent is unavailable

5 F or M Explain why we do not initiate refusals

OBJECTIVE 16: EQUIPMENT AND MEDICATION RESTOCKING circle initial date

1 F & M / / Demonstrate knowledge of equipment restocking procedures

2 F & M / / Demonstrate knowledge of locations to restock supplies (Pyxis, supply closets, off of an ambulance for

an engine, pharmacy paperwork when med not in Pyxis)

OBJECTIVE 17: CONTROLLED MEDICATIONS circle initial date

1 F & M / / Identify types and amount of controlled medications on each type of response unit.

2 F & M / / Locate lockbox and how to operate, (be aware of other departments types of lockboxes)

3 F & M / / Demonstrate knowledge of controlled drug policy and inventory process. Signing daily tracking documentation

4 F & M / / Demonstrate knowledge of documenting waste of controlled substances not administered

5 F & M / / Demonstrate understanding that agency-specific controlled substances are not interchangeable between agencies

6 F & M / / Demonstrate how to restock controlled medications

7 F & M / / Demonstrate how to document use, expirations or breakage of controlled medications

OBJECTIVE 18: CARDIAC MONITOR / MULTIFUNCTION DEVICE

ALL PROVIDER LEVELS

Each Task for both E-series and X-series monitors

circle initial date

1 E & X / / Demonstrate how to power on the monitor

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2 E & X / / Demonstrate how to remove, install a new battery, and how to use AC adapter

3 E & X / / Demonstrate location and purpose of buttons on the monitor and is able to change display and contrast on monitor

4 E & X / / Demonstrate how to review and/or print 12-lead, trends, print call log, snapshot, etc

5 E & X / / Demonstrate locations of alarms, how to silence, how to turn on/off and change parameters

6 E & X / / Demonstrate how to print a strip and can show where the paper is located and how to

reload it in the monitor

7 E & X / / Can locate the patient type and show how to change (if applicable)

8 E & X / / Can perform proper lead placement for 4-lead and 12-lead interpretation

9 E & X / / Demonstrate how to change monitor leads

10 E & X / / Demonstrate how to obtain 12-lead including changing patient age and gender as well as other setting in the 12-lead menu

11 E & X / / Demonstrate how to obtain a blood pressure and change mode from automatic or manual and how to change other settings (if applicable)

12 E & X / / Demonstrate how to obtain a SpO2, how to change settings, and view plethysmograph waveform (if applicable)

13 E & X / / Demonstrate how to obtain EtCO2, how to change settings, and view waveform (if applicable)

14 E & X / / Demonstrate how to obtain temperature and and how to change settings (if applicable)

15 E & X / / Demonstrate hands-free pad placement on patient in proper position (anterior/posterior preferred)

16 E & X / / Explain and demonstrate how to use the Real CPR-Help and See-thru CPR on monitor (if applicable)

17 E & X / / Demonstrates use of AED or semi-automatic AED function on the monitor (if applicable)

ALS PROVIDERS (BLS should review these items)

circle initial date

18 E & X / / Can demonstrate putting monitor into defibrillate mode

19 E & X / / Demonstrate turning sync on and off

20 E & X / / Can demonstrate how to dump a charge

21 E & X / / Can demonstrate how to put monitor into pacing mode

22 E & X / / Demonstrate how to set the pacer to the appropriate rate per protocol

23 E & X / / Demonstrate how to set the pacer to the appropriate energy level per protocol

24 E & X / / Can describe the difference between electrical and mechanical capture and can demonstrate how to determine the difference

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25 E & X / / Discuss the “pause” function

26 E & X / / Demonstrate how to turn the pacer off

OBJECTIVE 19: ECG INTERPRETATIONS (ALS ONLY) circle initial date

Accurately interpret (10) 12 lead ECG recordings and rhythms selected by the FTO from http://www.12leadecg.com/full/ecgindex.aspx (link found on HCTC website)

Discuss causes and treatment of the interpreted rhythms.

1 F or M

2 F or M

3 F or M

4 F or M

5 F or M

6 F or M

7 F or M

8 F or M

9 F or M

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F or M

OBJECTIVE 20: SUCTION SYSTEMS circle initial

1 M Locate and demonstrate use of on-board suction unit

2 F or M Demonstrate proper use of suction catheters and bulb suction

3 F & M / / Demonstrate operation and troubleshooting of portable units

4 F & M / / Disassemble and reassemble portable suction unit and test for proper operation

OBJECTIVE 21: OXYGEN SYSTEMS circle initial date

1 M Locate fire apparatus portable oxygen and discuss use

2 M Locate and demonstrate replacement of the in-house oxygen tank

3 F & M / / Identify low oxygen pressure and when to change out portable and in-house cylinder

4 F & M / / Locate portable oxygen cylinder and spare oxygen cylinder

5 F or M Discuss the use of NRB and NC

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http://www.12leadecg.com/full/ecgindex.aspx

http://www.12leadecg.com/full/ecgindex.aspx

OBJECTIVE 22: IV SYSTEMS & MEDICATION ADMINISTRATION circle initial date

1 F or M Review blood draw procedure/order

2 F or M Practice one successful IV on mannequin arm

3 F or M Legal alcohol blood draw as requested by law - NOT in current protocols

4 F or M Demonstrate pull/push fluid admin with 3-way stopcock for pediatric patients

5 F & M / / Discuss the use of each type of drip set available

6 F & M / / Discuss the use of each type of fluid available

7 F & M / / Discuss the use of each angiocath available

8 F & M / / Discuss the use of saline lock / buff caps (blue thing - buff cap is Colorado specific terminology), extensions sets

9 F & M / / Demonstrate how to set up a piggyback drip

10 F or M Perform 3 successful IV’s on patients

11 F or M Demonstrate how to draw up and administer medications from vial, ampule, preload, Bristojet

12 F or M Demonstrate use of Mucosal Atomizer Device (MAD)

13 F or M Demonstrate how to mix medications and infusion for administration (glucagon, vecuronium and “dirty epi” as examples)

Perform (3) successful IV’s on Patients: initial date gauge # of attempts

1

2

3

OBJECTIVE 23: AIRWAY SYSTEMS circle initial date

1 F or M Discuss nebulizer indications, precautions, assemble nebulizer equipment, load cartridge, attach O2, identify O2 flow rate, attach to NRB, attach to CPAP, demonstrate use of nebulizer in-line (BVM)

2 F & M / / Discuss indications, contraindications, sizing, setting up, demonstrate use of BVM, OPA’s, NPA’s

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Other airway systems that will be covered in the protocol review that will require practice as well:

circle initial date

1 F or M CPAP

2 F or M Chest decompression

3 F or M Cricothyrotomy

4 F or M Laryngoscope ET and King Vision intubation

5 F or M Supraglottic airway

6 F or M Airway obstruction

7 M Oral gastric tube

OBJECTIVE 24: TRAUMA SYSTEMS circle initial date

1 F or M Discuss indications, contraindications, practice application of KED, assessment before and after

2 F or M Discuss indications and use of burn sheet

3 F or M Discuss indications and use of trauma dressings

4 F or M Discuss indications, practice application of chest seal

Discuss indications, contraindications, practice application of splinting devices, assessment before and after:

circle initial date 1 F or M Traction device

2 F or M SAM splint

3 F or M Arm board splints

4 F or M Cardboard splints

5 F or M Pelvic binder

Other trauma systems that will be covered in the protocol review that will require practice as well:

circle initial date 1 F or M Spinal immobilization

2 F or M tourniquet

3 F or M hemostatic gauze

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OBJECTIVE 25: PEDIATRIC SYSTEMS circle initial date

1 M Demonstrate proficient use of the pediatric spine board

2 M Demonstrate proficient use of the all types of pediatric car seats

3 F or M Demonstrate proficient use of all equipment in pediatric bag, including color coded measuring tape

4 F or M Demonstrate knowledge of where to find pediatric protocol

5 F or M Demonstrate knowledge of the different anatomy and physiology in pediatrics compared to adults

6 F or M Demonstrate knowledge of how to handle a child with special needs

OBJECTIVE 26: MISCELLANEOUS EQUIPMENT circle initial date

1 M Demonstrate proficient use of doppler

2 M Demonstrate proficient use of Trainer’s Angels

3 F & M / / Demonstrate proficient use of glucometer

4 F & M / / Review use of OB equipment

5 F or M Demonstrate proficient familiarity with and deployment of Zoll Autopulse mechanical CPR device

Patient Care

OBJECTIVE 27: PATIENT ASSESSMENT

Primary Survey circle initial date

1 F or M Effect a proper introduction to patient in non-authoritative manner

2 F or M Determines responsiveness/level of consciousness

3 F or M Determines chief complaint/apparent life-threats

4 F or M Assesses airway and breathing

5 F or M Assures adequate ventilation and gives appropriate oxygen therapy

6 F or M Assesses circulation and controls major bleeding if necessary

7 F or M Assess skin parameters and pulse quality

History Taking and Secondary Assessment circle initial date

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1 F or M History of present illness(OPQRST)

2 F or M Past Medical History(SAMPLE)

3 F or M Secondary Assessment of Primary Illness/Chief Complaint

4 F or M Obtain Vital Signs

5 F or M Diagnostics (ECG, Pulse Ox, Blood Glucose, etc)

6 F or M States initial impression of patient and initiates appropriate treatment and transport plan

Reassessment circle initial date

1 F or M Repeats primary survey

2 F or M Repeats vital signs

3 F or M Evaluates response to treatments

4 F or M Repeats secondary assessment regarding patient complaint or injuries

Proficiency circle initial date

1 F or M Recognize when to seek additional history from family/friends

2 F or M Demonstrate ability to delegate information gathering tasks to others

3 F or M Demonstrate consistent approach to primary survey

4 F or M Demonstrate ability to recognize serious/critical signs and symptoms

5 F or M Demonstrate consistent approach to secondary survey (complete head to toe)

6 F or M Demonstrate ability to accurately measure vital signs (pulse, blood pressure, respiratory rate, GCS, pulse oximetry)

Protocol Review

REFER TO HCTC WEBSITE, CLICK THE “ALL THINGS TRAINING” TAB, CLICK ON FORMS AND REFERENCE THE MOST CURRENT “DENVER METRO PROTOCOL”. PRINT OUT THE TABLE OF CONTENTS AND USE TO COMPLETE THE FOLLOWING OBJECTIVES 27-36. ATTACH TO THE BACK OF THIS DOCUMENT. PROTOCOL IS A LIVING DOCUMENT AND MAY BE UPDATED AT ANYTIME. THE MOST CURRENT VERSION WILL BE ON HCTC WEBSITE.

● This protocol review is for ALL employees regardless of training level. ● Review each of the following objectives, and discuss questions with any FTO. ● Protocol may be reviewed on shift, during down time or at home.

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● There is no strict order to follow, however it is recommended to create a personal timeline. Trainee must have this Protocol Review completed within the first 3 months of employment.

● As each protocol is completely understood, Trainee and FTO will sign and date each protocol on the table of contents. Each protocol is not required to be discussed individually but Trainee should be prepared to be quizzed/tested by any FTO.

● Any protocol involving a procedure or skill, MUST be practiced hands-on via mannequin or actual call.

● Each medication should be reviewed individually with an FTO, and each signed off on the table of contents by Trainee and FTO.

OBJECTIVE 28: GENERAL GUIDELINES Guidelines should be discussed and understood in detail, Trainee and FTO will be comfortable in Trainees knowledge and understanding of these Guidelines.

OBJECTIVE 29: PROCEDURES Procedures should be discussed and practiced thoroughly with hands on training equipment, either at your agency or coordinated through HCTC. Trainee and FTO will both be comfortable in Trainees confidence and skill.

OBJECTIVE 30: RESPIRATORY PROTOCOL Respiratory Protocol should be discussed and reviewed until Trainee and FTO are comfortable in Trainees assessment and diagnosis. Trainee will be confident in ruling out and differential diagnosis of the types of respiratory disease. Trainee will demonstrate treatment of the different respiratory diseases.

OBJECTIVE 31: CARDIAC PROTOCOL Cardiac Protocol should be discussed and reviewed until Trainee and FTO are comfortable in Trainees assessment and diagnosis. Trainee will be confident in ruling out and differential diagnosis of the types of cardiac symptoms. Trainee will identify the different rhythms and demonstrate treatment with a cardiac monitor and/or medications.

OBJECTIVE 32: GENERAL MEDICAL PROTOCOL General Medical Protocol should be discussed and reviewed until Trainee and FTO are comfortable in Trainees assessment and diagnosis. Trainee will be confident in ruling out and differential diagnosis of the types of cardiac symptoms. Trainee will identify the different rhythms and demonstrate treatment with a cardiac monitor and/or medications.

OBJECTIVE 33: ENVIRONMENTAL PROTOCOL Environmental Protocol shall be reviewed thoroughly until the Trainee has a great understanding of the environmental factors in Summit County.

OBJECTIVE 34: BEHAVIORAL PROTOCOL Behavioral Protocol shall be reviewed with an emphasis on how frequent we have these calls in Summit County, with safety, Police and other resources utilized.

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OBJECTIVE 35: OBSTETRIC PROTOCOL Understand Obstetrical Protocol and the importance of immediate rapid transport with all obstetrical complications.

OBJECTIVE 36: TRAUMA PROTOCOL Trauma Protocol should be greatly understood as there are many that are often utilized in Summit County.

OBJECTIVE 37: MEDICATION PROTOCOL

For each of the medications listed in the Protocol complete the following:

● State the drug action, indications, contraindications, and precautions. ● State the adult AND pediatric dose/dose range, and site of administration. ● State how the drug is packaged and at what concentration. ● Understand what drugs are stocked per your agency, not all are the same. ● Explain what drugs can be given as a standing order or base contact per level of

training.

OBJECTIVE 38: SKILLS EVALUATION circle initial date

1 F or M Successful management of adult cardiac arrest scenario or call

2 F or M Successful management of a trauma scenario (critical patient) or call

20

• Your FTO will complete a daily observation report (DOR) at the end of each shift per the Summit County EMS Phase Guide

Daily Observation Report

• The webform for FTO to complete the DOR is located at: http://bit.ly/FTEPDOR

• Prior to submission of the report by the FTO, have them enter you email address and send the final report to you

• YOU ARE RESPONSIBLE FOR PRINTING AND PLACING A COPY OF THE COMPLETED REPORT IN YOUR BINDER.

• Trainees are highly encouraged to complete an evaluation for each FTO at the end of each shift. Trainees may go to the following webform to complete the evaluation: http://bit.ly/FTOEvaluation

http://bit.ly/FTEPDOR�

http://bit.ly/FTOEvaluation�

Summit County Emergency Medical Services Standardized Evaluation Guideline

The Standard Evaluation Guidelines shall be applied by the Field Training Officer during the completion of the Daily Observation Report at the conclusion of each shift. The following “1”, “3”, and “5” rating system is to be used when rating a trainee’s behavior in each of the performance categories. Through the use of these guidelines the program standardization and rating consistency are achieved.

Start of Shift

1) Preparedness- Evaluate physical appearance, uniform, timeliness, and readiness. Guidelines to be provided by agency specific SOG/policies.

(1) Unacceptable - Uniform is worn improperly, wrinkled or dirty. Non-polishable/dirty shoes. Hair is not groomed and/or in violation of current policy. Face is unshaven or mustache is not neatly trimmed. Offensive body odor or breath. Visible tattoos or unauthorized jewelry. Tardy for start of shift.

(3) Acceptable - Uniform is neat and clean. Shoes are polished and clean. Grooming consistent with current policy.

(5) Superior - Uniform is tailored/pressed. Shoes have a military shine (spit shined.) Has 2nd uniform available on duty.

2) Pass-on- Evaluate ability of trainee to pass on pertinent information about medic unit.

(1) Unacceptable - Does not pass the vehicle over to oncoming crew in acceptable clean condition. Leaves out important information such as low fuel, missing equipment, or medications.

(3) Acceptable - Leaves ambulance in a state of readiness to run the next call. Ambulance is washed and interior is clean. Passes on information about status of vehicle supplies and fuel.

(5) Superior - Leaves vehicle in a state of readiness to run next call, thoroughly details interior of vehicle, washes and dries vehicle. Checks all fluid levels within scope of maintenance and passes on detailed status of vehicle supplies and fuel.

3) Unit equipment checkout- Evaluate trainee’s ability to thoroughly check/test equipment and supplies in the medic unit.

(1) Unacceptable - Does not check medic unit equipment and supplies upon arriving for shift. Assumes medic unit has all supplies and is in a state of readiness. Needs prompting to initiate equipment checks. Does not fill out proper documentation while checking equipment.

(3) Acceptable - Initiates checks without being directed and performs a thorough check of equipment and supplies. Makes note and replaces any missing supplies or malfunctioning equipment. Fills out appropriate documentation of equipment checks.

(5) Superior - In addition to acceptable level trainee tests all equipment to manufacturer specification. Refers to supply and equipment check lists in order to confirm the proper supplies and equipment are accounted for and removes any overstocked items from the ambulance and returns them to supply.

4) Driving pre-trip inspection- Evaluate trainee’s ability to check medic unit for road worthiness and safety.

(1) Unacceptable - Does not check vehicle for road worthiness and safety upon arriving for shift or leaving on a call.

(3) Acceptable - Self initiation of vehicle road worthiness and safety upon arriving for shift. Checks all emergency lights, lights, sirens, windshield, tire condition, and windshield wiper fluid. Inspects vehicle for damage with off going crew. Reports any findings to Supervisor.

(5) Superior - In addition to acceptable level trainee checks all vehicle fluid levels. Verifies the chains are in working order on the vehicle (if applicable). Performs walk around of vehicle prior to departing station every time.

Equipment Operations

1) Medical durable goods- Evaluate trainee’s ability to operate and troubleshoot all medical equipment.

(1) Unacceptable - Inability to operate any equipment on the medic unit. Given a malfunctioning piece of equipment, inability to logically check and solve minor and fixable problems.

(3) Acceptable - Operates all equipment efficiently and safely. Can logically work through problems with equipment and shows ability to determine the difference between user error and malfunctioning equipment. Places malfunctioning equipment out of service and notifies supervisor.

(5) Superior - After identifying a problem with a piece of equipment employee self initiates to learn more about the piece of equipment through manufacture user guides and/or additional research online.

2) Gurney Operations- Evaluate trainee’s ability to safely operate/troubleshoot gurney.

(1) Unacceptable - Is unable to show competency and proper safety measures when using a gurney. Constantly requires help in lifting, lowering, loading or unloading. Cannot safely maneuver gurney over common terrain or obstacles.

(3) Acceptable - Is able to use any gurney in a safe and competent manner. Does not require any assistance with lifting, lowering, loading or unloading. Is able to perform skills within acceptable standards (which includes safe maneuver over common terrain or obstacles).

(5) Superior - Safely operates gurney according to manufacturer recommendations and company SOG's. Is able to troubleshoot and fix and report problems with gurney. Is aware and foresees possible dangerous situations while operating gurney. Is aware of possible consequences and injuries if gurney is not operated properly. Reads manufacturer user guide and takes an interest in how the gurney operates.

3) Radio/MDC- Evaluate trainee’s knowledge of radio channels and operations of radio and MDC.

(1) Unacceptable - Trainee is unable to operate the radio and/or MDC in an efficient and proper manner.

(3) Acceptable - Trainee is able to talk on the radio in an efficient and concise manner. Trainee follows all SOG's with regard to communication with dispatch. Trainee has a good understanding of OPS, Command, and TAC channels. Trainee is able to navigate through MDC in an efficient manner.

(5) Superior - In addition to acceptable level the trainee does not need prompting to properly communicate status changes. Trainee is able to anticipate what OPS channel dispatch will move us to by geographical location. Trainee can trouble shoot connectivity issues on MDC

Driving

1) Mapping- Evaluate trainee’s knowledge of district and multiple mapping techniques.

(1) Unacceptable - Unaware of call location. Does not properly use mapping equipment. Continually cannot identify map section. Unable to relate location to destination. Gets lost. Expends too much time getting to the destination or finding it on the map.

(3) Acceptable - Is aware of call location. Properly uses mapping equipment and can consistently identify general response area and map sections. Can relate location to destination. Knows the general location of all ambulance stations and nearest hospitals. Locates/arrives within a reasonable amount of time.

(5) Superior - Remembers location from previous visits and seldom needs map. Is aware of shortcuts and utilizes them to save time. High level of orientation to the city and county. Is always able to correctly identify map sections and response areas. Understands traffic patterns and is able to predict and avoid high congestion areas.

2) Driving ability- Evaluate trainee’s ability to safely operate medic unit looking at all aspects of driving.

(1) Unacceptable - Does not show due respect to the importance of operating apparatus in a safe manner. Does not show due regard for public safety while operating apparatus in an emergent setting. Performs any unsafe acts while driving emergent or non-emergent. Disobeys any traffic signals, signs or speed limits. Drives in an aggressive and unsafe manner. Drives to fast for current road conditions.

(3) Acceptable - Shows due respect to importance of operating apparatus in a safe manner. Keeps public safety in mind while operating apparatus in an emergent setting. Follows all traffic signs, signals, and speed limits at all times. Is calm and safe while responding to an incident emergent.

(5) Superior - Always operates the apparatus in a safe manner while driving emergent or non-emergent. Understands the liability and dangers of operating emergency apparatus. Always follows traffic signs, signals, and speed limits. Drives while looking ahead and anticipating possible movements of surrounding vehicles. When asked, is able to identify all vehicles surrounding ambulance from consistent visualization of mirrors and situational awareness.

3) Follows backing policies and procedures- Evaluate trainee’s willingness to follow all policies and procedures while backing.

(1) Unacceptable - Fails to follow backing policy/procedures such as requesting a spotter when one should be used. Fails to scan for hazards prior to backing. Fails to ensure that spotter is in the appropriate spotter position. Fails to roll down driver’s window. Fails to recognize and follow appropriate hand signals.

(3) Acceptable - Consistently follows backing policy/procedures such requesting a spotter when one is needed. Consistently scans for hazards prior to backing. Consistently ensures that spotter is in the appropriate spotter position. Does not place the vehicle in reverse until spotter is visible. Consistently rolls down driver’s window. Consistently recognizes and follows hand signals.

(5) Superior - Always follows backing policy/procedures such requesting a spotter when one is needed. Always scans for hazards prior to backing. Always ensures that spotter is in the appropriate spotter position. Always waits to place the vehicle in reverse until spotter is visible. Always rolls down driver’s window. Always recognizes and follows hand signals.

4) Vehicle Placement and Exit Routes- Evaluate trainee’s ability to park vehicle safely on emergency scenes as well as non-emergencies while keeping timely exit routes in mind.

(1) Unacceptable - Parks vehicle in unsafe or unsecure location. Does not follow police or fire personnel parking instructions. Always requires prompting/assistance to plan exit routes.

(3) Acceptable - Parks vehicle in safe and secure location with very little assistance. Follows police or fire personnel parking instructions. Plans exit routes with very little prompting/assistance.

(5) Superior - Parks vehicle in safe and secure location with no assistance. Plans exit routes with no prompting/assistance.

5) Smooth Transport- Evaluate trainee’s ability to transport pt in a smooth and efficient manner with regard to acceleration, deceleration and cornering.

(1) Unacceptable - Makes hard stops and fast accelerations, makes sharp turns and last minute maneuvers. Doesn’t scan ahead for road hazards.

(3) Acceptable - Makes smooth stops, accelerates slowly and takes wide turns. Scans ahead for road hazards and makes smooth lane changes.

(5) Superior - Scans ahead for road Hazards, makes smooth stops and slowly accelerates, makes wide turns and smooth lane changes. Shows the ability to adapt to changing road conditions.

EMS Skills and Knowledge

1) Protocol Knowledge- test trainee on protocol knowledge verbally or in written form.

(1) Unacceptable - Does not know even the most often used protocols. Does not recognize emergent patient conditions. Unable to synthesize evidence in making a diagnosis and subsequent clinical decisions. Answers questions with less than 70% accuracy

(3) Acceptable - Knows and recognizes commonly used protocols. Is able to identify and discuss pathophysiology of disease process. Can intelligently discuss diagnosis. Asks knowledgeable and well-informed questions. Understands rationale for varied approaches to clinical problems. Answers questions with 80% accuracy.

(5) Superior - Displays outstanding knowledge of protocols. Quickly and effectively applies treatment protocols in changing clinical presentations. Compares own outcomes to accepted guidelines. Explains clinical reasoning to co-workers. Anticipates needs. Answers questions with nearly 100% accuracy.

2) Knowledge of Policies and Procedures- Test trainee’s knowledge of policies and procedures of agency.

(1) Unacceptable - Fails to display knowledge of current policies and procedures and/or chain of command, or violates the same.

(3) Acceptable - Has an adequate working knowledge of current policies and procedures. Knows how to reference policies and procedures manual for clarification or questions.

(5) Superior - Has an excellent working knowledge of current policies and procedures.

3) Medication knowledge- Test trainee’s knowledge of medication and doses for respective level of certification.

(1) Unacceptable - Does not know medication protocols, dosage, mechanism of action, indications, contraindications, or side effects. Does not verify medications prior to administration and does not check dates or labels. Does not verify allergies prior to administration. Chooses inappropriate medications for patient’s condition. Does not know his/her own scope of practice. Cannot set up equipment and/or prepare medications for administration. Answers questions with less than 70% accuracy.

(3) Acceptable - Follows protocol in commonly encountered situations. Administers proper medications in a safe and timely manner. Knows correct dosages, mechanisms of action, indications, contraindications, and side effects. Checks medications prior to administration including labels and dates. Verifies allergies prior to administration. Answers questions with 80% accuracy.

(5) Superior - Follows required procedure in all cases, accurately applying medication protocol and treating patient appropriately. Has superior working knowledge of correct dosages, mechanisms of action, indications, contraindications, and side effects with no prompting or assistance. Checks medications prior to administration including labels/dates and verifies medication with partner. Recognizes drug interactions. Answers questions with nearly 100% accuracy.

4) Intervention/Procedures- evaluate trainee’s ability to perform interventions and procedures at correct times.

(1) Unacceptable - Initiates interventions or procedures at inappropriate times or without a logical reason. Performs any procedure in an unhygienic manner. Does not use proper PPE while performing procedures and interventions.

(3) Acceptable - Performs necessary procedures and interventions at appropriate times and can explain the reasoning behind the decision when asked. Consistently uses proper PPE and performs procedure in a hygienic manner.

(5) Superior - Initiates procedures or interventions at the proper time while explaining to the patient the reasoning behind the procedure the trainee is about to perform. Trainee always uses proper PPE and performs procedure in a hygienic manner.

Patient Care

1) Scene safety/awareness- Evaluate trainee’s situational and scene awareness throughout call.

(1) Unacceptable - Does not consider weather or severity of the incident. Performs acts that place self or others in a dangerous situation. Does not take proper precautions regarding helmet and reflector vest gear on street/highway or traffic related situations. Does not use proper precautions when lifting, moving and loading patients.

(3) Acceptable - Considers weather and the severity of the incident. Trainee takes precautions to protect self and others from dangerous situations. Takes appropriate precautions on scene, moving the patient and loading the patient. Wears all appropriate safety gear as call type requires.

(5) Superior - Always works safely. Foresees dangerous situations and prepares for them. Keeps crew informed and determines the best course of action. Is not over confident and serves as a model to fellow co-workers and others without conveying a message of paranoia.

2) Patient interaction and care- Evaluate trainee’s bedside manner and empathy for patient.

(1) Unacceptable - Trainee acts in an unprofessional manner towards patient, trainee is insensitive and withholds care based on preconceived judgments of the ethnic and socio economic background of patient. Provides unsafe, harmful, dangerous and inappropriate care towards patient.

(3) Acceptable - The trainee maintains a professional demeanor in all encounters with patient. Trainee is empathetic and objective in all patient contact. Trainee demonstrates appropriate skills and treatments according to patient condition. The trainee creates a comfort level for patient by consistently communicating in an honest and appropriate manner.

(5) Superior - Trainee quickly establishes rapport with patient. Trainee understands the various cultural/ethnic/socioeconomic differences and uses it to their advantage (empathy). Leaves patient with a feeling that the trainee was invested in serving them.

3) Patient assessment- Evaluate trainee’s ability to complete a thorough and complete physical exam while correcting life threatening problems as needed.

(1) Unacceptable - Unable to perform an orderly assessment or develop an appropriate line of questioning for the situation; unable to recognize priority of the patient or distinguish a critical patient from a non-critical patient: develops tunnel vision, neglects to complete a detailed exam, becomes confused and disoriented during the task. Does not elicit and/or record/remember relevant information. Does not establish an appropriate rapport with the patient/family/bystanders.

(3) Acceptable - Able to perform an orderly assessment or develop an appropriate line of questioning for the situation; able to recognize priority of the patient or distinguish a critical patient from a non-critical patient: completes a detailed physical exam in a timely manner and stays on task. Elicits and/or records/remembers relevant information. Establishes an appropriate rapport with the patient/family/bystanders.

(5) Superior - Always performs detailed exam of the patient and the surroundings, even under the most serious and adverse conditions. When applicable, performs extensive evaluation of the patient’s complaint and/or injury. Establishes outstanding rapport with patient/family/bystanders. Distinguishes pertinent information from irrelevant information. Elicits all relevant information available in a short period of time and records the same.

4) Scene management – Evaluate the trainee’s ability to manage the aspects of a scene including delegation of tasks related to patient care/patient care priorities, identifies appropriate patient disposition, and patient movement to the ambulance.

(1) Unacceptable – Does not delegate tasks, does not prioritize patient care or recognize need for intervention. Does not identify appropriate patient disposition. Does not initiate an extrication plan or delegate extrication of patient to resources available on scene in a timely manner. Does not incorporate the feedback coming from other team members to develop a treatment plan, or makes no effort to listen to other provider’s report. Makes no effort or is incapable of orchestrating the scene as a whole. Requires FTO intervention to establish appropriate disposition, patient treatment plan, patient extrication and patient care.

(3) Acceptable – Delegates tasks associated with patient care. Prioritizes patient care and interventions. Identifies appropriate patient disposition in a timely manner. Communicates how to move the patient to the ambulance or delegates this task. If this task is delegated then ensures that the steps being taken are appropriate for patient condition and safe for other providers. Orchestrates the scene as a whole openly considering the suggestions from other providers on scene. No FTO intervention required.

(5) Superior – Fluidly delegates patient care tasks. Identifies strengths and

weaknesses of the other team members and properly selects the crewmembers

most adept to the task at hand. Works as a leader of the team. Takes into

consideration the most efficient way to move a patient to the ambulance without

compromising the health of the patient or of the responders. Instills a feeling of

calm to a chaotic scene with clear concise direction.

5) Assisting Partner- Evaluate trainee’s ability to anticipate and assist partner on calls.

(1) Unacceptable - Is unable to effectively assist with patient care, requiring constant assistance with equipment/skills.

(3) Acceptable - Is able to effectively assist with patient care, requiring very little assistance with equipment/skills.

(5) Superior - Consistently anticipates partner’s needs during patient care, requiring no assistance with equipment/skills.

6) Phone/radio report- Evaluate trainee’s ability to properly communicate phone/ radio report to the hospital while in route with a patient.

(1) Unacceptable - Trainee is unaware of how to access the hospital number on the phone and needs guidance to give a report. Did not provide pertinent information to hospital.

(3) Acceptable - Able to navigate the phone to find the number needed and has information for report (age, gender, c/c, etc.) ready. Able to give report with minimal help needed by Training Supervisor. Provides the facility with patient age, gender, chief complaint/events of incident, pertinent medical history, and vital signs. Gives the receiving facility enough information to determine room assignment and alert status.

(5) Superior - In addition to acceptable level trainee has report ready prior to calling the hospital. Able to answer any clarifying questions by RN if needed (v/s stable, what squad is shipping or duration of injury)

7) Transfer of care- Evaluate trainee’s ability to transfer pt care to medic, nurse or doctor.

(1) Unacceptable - Consistently fails to provide thorough and accurate information to healthcare personnel. Did not provide pertinent information relating to the patient’s complaint or symptoms.

(3) Acceptable - Regularly provides accurate and detailed information about the patient’s symptoms/condition in an organized manner.

(5) Superior - Trainee always provides complete and accurate information in an organized and timely fashion. Healthcare personnel never question the accuracy of the information provided by the trainee.

Documentation

1) EPCR/ report writing skills- Evaluate trainee’s ability to accurately document all the aspects of a call in an organized and detailed manner with proper spelling and grammar within an appropriate time frame to the call. Evaluates employee ability to use electronic based system in place for report writing.

(1) Unacceptable - Unable to organize information and reproduce it in the required format. Leaves out pertinent details. Report is inaccurate or incorrect or incomplete. The trainee needs to be prompted, corrected in more than one field of the EPCR. Holds reports to complete later or at end of shift.

(3) Acceptable - Able to complete EPCR in the allotted time. Trainee completes minimal requirements of EPCR by filling in the required fields and obtaining appropriate signatures without being prompted or corrected. Reports contain the required and necessary information. Completes reports as soon as practical after the call is finished.

(5) Superior - In addition to the acceptable level the trainee provides more information than required, and completes EPCR in under the allotted time. Trainee is able to document in full comprehensive narrative.

Post Call Duties

1) Return to Service- Evaluate trainee’s ability to put medic unit back in service by properly restocking and cleaning in a timely manner.

(1) Unacceptable - Does not restock items used on the call. Does not make efforts to clean the medic unit after the call. Does not communicate to dispatch availability status in a timely manner.

(3) Acceptable - Restocks items used on the call. Cleans ambulance without prompting. Communicates to dispatch availability status in a timely manner.

(5) Superior - Keeps a running list of items in need of restock after the call. Restocks the ambulance without prompting. Thoroughly cleans the ambulance and all items used using approved cleaning products. Has ambulance restocked and ready for the next call in a timely manner and communicates availability to dispatch without prompting.

Interpersonal Skills

1) Attitude- Evaluate trainee’s ability to maintain a positive and receptive attitude towards constructive criticism and their ability to address any issues that may arise throughout the shift.

(1) Unacceptable - Unwilling to listen to constructive criticism, un-coachable, lacks motivation to learn, loses temper easily in stressful situations and refuses to work as a team.

(3) Acceptable - Willing to listen to constructive criticism, periodically seeks ways to improve skills/knowledge, maintains composure in stressful situations, works well in a team atmosphere and is willing to help when opportunity presents itself.

(5) Superior - Welcomes constructive criticism, consistently seeks ways to improve skills/knowledge, thrives in team atmosphere and continuously displays a positive attitude.

2) Interpersonal communication- Evaluate trainee’s ability to communicate effectively and professionally with fellow employees, supervisors and costumers.

(1) Unacceptable - Unable to articulate thoughts in a timely manner. Does not organize thoughts. Uses improper terminology. Does not speak in a respectful, professional manner.

(3) Acceptable - Able to articulate/organize thoughts in a timely fashion. Speaks in polite, respectful tone. Knowledgeable in proper medical terminology.

(5) Superior - Always engages in effective communication with any one he/she comes into contact with. Speaks in a respectful, professional manner at all times.

3) Multi-tasking skills- Evaluate trainee’s ability to rapidly adapt to changing circumstances and accomplish tasks while involved in high stress situations.

(1) Unacceptable - Trainee displays the inability to follow directions, trainee shows frustration with duties and expectations. Trainee is unable to perform two or more tasks simultaneous and does not display the ability to perform multiple duties sequentially.

(3) Acceptable - Trainee displays the ability to follow directions. The trainee exhibits a professional demeanor at all times while performing tasks and duties. Trainee is able to perform two or more tasks simultaneously and correctly and displays the ability to perform multiple duties sequentially.

(5) Superior - Trainee anticipates tasks, and performs the anticipated tasks simultaneously and correctly.

Daily Duties

1) Cleaning/station duties- Evaluate trainee’s willingness to identify and perform daily and shift change chores without prompting by the crew.

(1) Unacceptable - Unwillingness to participate in all aspects of station, equipment and ambulance cleaning. Does not use safe and proper cleaning techniques (visible blood or body fluids). Does not actively participate in station duties.

(3) Acceptable - Demonstrates willingness to participate in all aspects of station, equipment, and ambulance cleaning. Uses safe and proper cleaning techniques (no visible blood or body fluids).

(5) Superior - Self initiates in all aspects of station, equipment and ambulance cleaning and detailing.

• Go to the following website:

Protocol Test

http://moodle.dmemsmd.org

• Your log in information is:

Username:

Password:

• You are allowed to have the protocols available during the test.

• Once you have completed and submitted your attempt. On the review screen select “Show all questions on one page” then print the test from the web browser and place in behind this sheet in the binder.

• If more than one attempt is made, print the same for each individual attempt.

http://moodle.dmemsmd.org/�

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email address

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Summit County Ambulance Service

Map Test

Directions: Please write/type your answers on a separate piece of paper for questions 1-

62. Have your FTI act as a proctor as you map them to as many locations as possible.

1. Medic 1 is based out of __________ and is in service from the hours of

__________ and __________. What is the address?











7. Describe Medic 1’s district in detail.






13. You are working Medic 8 and are in quarters. You are dispatched to a CPR in

progress at 340 Peak One Drive. What engine would you expect get dispatched to

this call? What is this common place called? How would you get to this call in the

most expeditious time frame? What Operations channel should you be assigned?

14. You are working Medic 3 and are in quarters. Medic 4 is in quarters. You hear a

call go out for a medical at Summit High School. Should you take this call?

Should Medic 4 take this call? Why and/or why not?

15. What engine and medic should respond to a burn victim at the Tiger Run Fire Pit?

How would you get there from the ES building? How would you get there from

BMC? What Operations channel should you be assigned?

16. You are working Medic 8 and are in quarters. How would you get to a medical at

336 N. Chipmunk Circle in Silverthorne? What engine would you expect to

respond with you to a call here? What law enforcement agency would you expect

to respond with you to a call here? What Operations channel should you be

assigned?


61 CR 524? What if there was a rockslide across Boreas Pass Road near the ice

rink that you could not get across?


117 3rd

Street in Montezuma? What engine would you expect to respond with you

to a call here? What law enforcement agency would you expect to respond with

you to a call here? What Operations channel should you be assigned?

19. What are the exit number(s) for Silverthorne, Frisco (there are two) and Copper

Mountain? Do they line up exactly with the mile markers with the same

number/name?

20. What mile marker is the Eisenhower/Johnson tunnel?

21. How would you cross over to the WB lanes of traffic from the EB lanes of traffic

at the Eisenhower/Johnson tunnel?

22. What are the addresses for CMC, KMC, BMC, SASMC, A-Basin FAR, Copper

Lower Patrol Room, and Peak 8 FAR?

23. What is the designated LZ in Breckenridge called? How would you get there from

BMC? How would you get there from Peak 8 FAR?

24. Where is the designated LZ in Keystone?

25. Where is the designated LZ in Copper Mountain?

26. Where is the Keystone Gulch Road? How would you get there from quarters if

you were Medic 8? How would you get there from quarters if you were Medic 4?

27. Where is the Summit County Jail located? Where do you park? What Operations

channel should you be assigned?

28. What are the names of the two campgrounds off of the Dillon Dam Road?

29. You are transporting a major trauma victim emergent from the Keystone Gulch

Road to SASMC. What is the best way to get to SASMC?

30. What is the address of the Breckenridge Police Department?

31. What is the address of the Frisco Police Department?

32. What is the address of the Silverthorne Police Department?

33. What is the address/location of LDFR Station 10?

34. What is the address/location of LDFR Station 2?

35. What is the address/location of RWBFPD Station 7?

36. Where is Corinthian Hills? What engine would you expect to respond with you to

a call here? What law enforcement agency would you expect to respond with you

to a call here? What Operations channel should you be assigned?

37. Where is the Columbine “put in”? What engine would you expect to respond with

you to a call here? What law enforcement agency would you expect to respond

with you to a call here? What Operations channel should you be assigned?

38. Where is the Country Boy Mine? What engine would you expect to respond with



39. Where is the Glory Hole? What engine would you expect to respond with you to a

call here? What law enforcement agency would you expect to respond with you to

a call here? What Operations channel should you be assigned?

40. Where is the landfill? What engine would you expect to respond with you to a call

here? What law enforcement agency would you expect to respond with you to a

call here? What Command channel should you be assigned?

41. Where is the Kingdom Trailer Park? What engine would you expect to respond

with you to a call here? What law enforcement agency would you expect to

respond with you to a call here? What Operations channel should you be

assigned?

42. Where is Summit Middle School? What engine would you expect to respond with



43. Where is the Frisco Transfer Station? What engine would you expect to respond



assigned?

44. Where is the Keystone Conference Center? What engine would you expect to



assigned?

45. Where are the Mountain Side Condos? What engine would you expect to respond



assigned?

46. Where is the ice rink off of Boreas Pass? What engine would you expect to



assigned?

47. Where are the Beaver Run Condos located? What engine would you expect to



assigned?

48. Where is the Wellington Neighborhood? What engine would you expect to



assigned?

49. Where is the Farmers Grove Subdivision? What engine would you expect to



assigned?

50. Where is the Silverthorne Recreation Center? What engine would you expect to



assigned?

51. Where is the Willowbrook Neighborhood? What engine would you expect to



assigned?

52. Where is Target located? What engine would you expect to respond with you to a

call here? What law enforcement agency would you expect to respond with you to

a call here? What Operations channel should you be assigned?

53. Where is the Dillon Marina located? What engine would you expect to respond



assigned?

54. Where is the Lowry Campground? What engine would you expect to respond



assigned?

55. Where is the Blue Lakes Trailhead? What engine would you expect to respond



assigned? Where can you find a list of all trailheads in the county?

56. Where is the Hunkidori parking lot? What engine would you expect to respond


respond with you to a call here? What Command channel should you be assigned?

Where can you find a list of the names/locations of parking lots in the county?

57. You receive a call for an overturned boat in Green Mountain Reservoir, patient in

the water. What engine would you expect to respond with you to a call here?

What law enforcement agency would you expect to respond with you to a call

here? What Operations channel should you be assigned? What 800 radio channel

would you use to patch through to your Operations channel? What 800 radio

channel would you use to contact FFL? What other agencies would respond to

this call?

58. What is another name for Highway 9 through Frisco?

59. What is another name for Highway 9 through Silverthorne?

60. What Highway runs through Keystone?

61. What Ambulance should respond to a call at Sapphire Point if all Medic Units are

available and in quarters? Who should go second? Third? Fourth?

62. If there is a Search and Rescue incident in the Gore Range, what

Command/Operations channel would be assigned to it? What about on Quandary

Mountain?


Locations Checklist – Medic 1 & Medic 3 District

Trainee should map FTI to these locations and discuss location, its significance, radio

channels, engine response, etc.

Vail Pass Rest Area MM 190 and bike path access

Station 1 (walk through), 0477 Copper Road

Woodward Adventure Center (walk through), 0505 Copper Road

Copper helicopter Landing Zone, front pad of Station 1, 0477 Copper Road

Copper Mountain Medical Center (walk through), 0860 Copper Road

Copper Ski Patrol First Aid Room (walk through), 0182 Copper Circle

Copper Climbing Wall, Burning Stones Plaza, Copper Circle

Lewis Ranch and Union Creek, 0632 Beeler Place, code to gate

Copper Station, 0102 Wheeler Circle

Copper Mountain ski area parking lots off Highway 91

Ski Patrol rendezvous on Highway 91 Egress Road, 3.5 miles from the Conoco

Highway 91 to Climax Mine and Freemont Pass

1-70, exits 195, 198, 201, 203, Scenic overlook and bike path access

Summit High School (walk through), 16201 State Highway 9

Farmer’s Corner and Swan Mountain Road, 0349 Lake View Circle

Summit Medical Center, MOB, Peak One Surgery and Detox (walk through),

360-340 Peak One Drive

Senior Center and Animal Shelter, 151 & 191 County Road 1004

Bill’s Ranch, 105 Ophir Lake Road

Frisco Elementary School, 800 8th Avenue

South Side of Frisco, 146 Pine Drive

Frisco PD and Post Office, 10 East Main Street and 35 West Main Street

North Side of Frisco (drive through The Reserve to transfer center)

Frisco Transfer Center, 1010 Meadow Drive

Wal-Mart and Safeway 840 and 1008 Summit Boulevard

Hotels on Lusher Court and Dillon Dam Road (Ramada, Best Western, Holiday

Inn, etc.)

Dillon Dam Road to the Glory Hole (drive through campgrounds)

East Side of Frisco, 747 Meadow Creek Drive

Dr. Ebert-Santo’s Office, 730 Summit Boulevard

Summit Middle School, School Road

Frisco Marina, 902 East Main Street

Frisco Peninsula Recreation Area (drive through campgrounds)


Locations Checklist – Medic 4, Medic 6 and Medic 7



High Country Health Care Breckenridge, 400 North Park Avenue

The Village at Breckenridge and Breckenridge Medical Center (walk through),

555 South Park Avenue

Beaver Run Condos, 620 Village Road, Buildings 1-4 and their entrances

Main Street Station, 505 South Main Street

RWBFD Station 6, 316 North Main Street

Carter Park, south end of High Street

Breckenridge Elementary School, 312 Harris Street

Ice Rink, 189 Boreas Pass Road

Boreas Pass Trailhead, approximately 4000 Boreas Pass Road

Baldy Road, 0062 Club House Road

Little Red School House, 600 Reiling Road (via Moonstone)

Justice Center/Jail (walk through and call ahead 453-2232), 501 Airport Road

Rankin Place Helicopter Landing Zone

Breckenridge Recreation Center (walk through), 880 Airport Road

Breckenridge Police Department, 150 Valley Brook Road

Upper Blue Elementary, 1200 Airport Road

Peak 7 subdivision, 53 Twin Pines Court

Peak 8 First Aid Room (walk through), 1627 Ski Hill Road, code = 6736

The Highlands, 285 Westerman Road

Tiger Road, 1155 Estates Drive

Tiger Run RV Resort, 0085 Revette Drive

RWBFD Station 4, 13549 Highway 9

Warrior's Mark Subdivision, 523 White Cloud Drive

The Tarn, Blue River

Royal Subdivision, 54 Regal Circle

RWBFD Station 7, 120 Whispering Pines Circle

Valley of the Blue Subdivision, 456 CR 674, summer access to Highway 9

Quandry Village Subdivision, 404 Carroll Lane

Quandry Trail Head, McCullough Gulch Road

Hoosier Pass


Locations Checklist – Medic 8 and Medic 11



Dillon Police Department, 275 Lake Dillon Drive

Dillon Marina, 150 Marina Drive

Dillon Dam, Dillon Dam Road and CR 7

Corinthian Hills Subdivision, 114B Ensign Drive

Summerwood Subdivision, 34 Torrey Lane

Sapphire Point, Swan Mountain Road

Swan Meadow Village, 73 Maroon Peak Circle

Summit Cove Elementary, 727 Cove Boulevard

Summit Cove and Keystone Ranch Gate (Hideaway Court and Glacier Drive)

The landfill and shooting range, 0639 Landfill Road

Keystone Gulch Road, 44 Keystone Gulch Road

Keystone Ranch, 1245 Ranch House Drive

Keystone Medical Center via Mountain House Gates (walk through),

1252 West Keystone Road

Lone Eagle Condos, 280 Trailhead Drive

River Run Base Area, 140 Ida Bell Drive

River Run Gondola, 125 Hunkidori Court

The Town of Montezuma

Arapahoe Basin First Aid Room, 28194 US Highway 6

SFE Station 11 (walk through), 22393 US Highway 6

Tenderfoot Employee Housing, 1545 Lone Pine Circle

Keystone Conference Center, 0633 Tennis Club Road

Keystone Lodge, 22101 Highway 6

Dillon Valley Elementary, 108 Deer Path Road

Dillon Valley East, 0953 Straight Creek Drive

Dillon Ridge Market Place (City Market), Dillon Ridge Road

High Country Healthcare Silverthorne, 265 Tanglewood Lane

Rainbow Park/Silverthorne Recreation Center (walk through), 430 Rainbow

Drive

Silverthorne Police Department, 601 Center Circle

Silverthorne Elementary, 101 Hamilton Creek Road

Heeney, 6875 Heeney Road – do not drive to Heeney unless you are already there

Willowbrook Subdivision, 112 Blue Grouse Lane

SFE Station 10 and Silverthorne transfer center, 401 Blue River Parkway

Wildernest/Mesa Cortina, 302 Twenty Grand Drive

EMS Field Training and Evaluation Program

Documents