This form evaluates new employees during orientation to establish a baseline standpoint. It is completed by the Field Training Officer at Austin County Emergency Medical Service. This evaluation assures a standard and quality patient care is delivered to the citizens and public that this service provides for.
* INDICATES REQUIRED FIELD
Evaluate the employee in each of the following areas on a scale of 0 - 5:
Evaluator must comment on any score of 0 – 1
Evaluate physical appearance, uniform, timeliness, and readiness. Guidelines to be provided by agency specific SOG/policies.
Evaluate ability of trainee to pass on pertinent information about medic unit.
Evaluate trainee’s ability to thoroughly check/test equipment and supplies in the medic unit.
Employee demonstrated safe and courteous emergency vehicle operations. Always takes time to drive and become familiar with vehicle prior to an emergency situation.
Evaluate trainee’s ability to operate and troubleshoot all medical equipment.
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.
Evaluate trainee on protocol knowledge verbally or in written form.
Trainee has highly insightful, working knowledge of the medical protocol and procedures. Able to anticipate needs well in advance. Would be considered highly unlikely to have any protocols violations.
Evaluate trainee’s situational and scene awareness throughout call.
Evaluate trainee’s bedside manner and empathy for patient.
Evaluate trainee’s ability to complete a thorough and complete physical exam while correcting life threatening problems as needed
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.
Trainee demonstrates proper public relations with citizens, county officials, and other department staff (i.e. Hospitals, Nursing Homes, Family, Fire/FRO, PD, DPS, etc.)
Evaluate trainee’s ability to rapidly adapt to changing circumstances and accomplish tasks while involved in high stress situations.
Evaluate trainee’s willingness to identify and perform daily and shift change chores without prompting by the crew.
Trainee solicits criticism in order to identify deficiency then seeks to independently correct deficiencies. Accepts constructive criticism well by supervisors or other field staff.