BLS RIDE TIME SHIFT EVALUATION

BLS RIDE TIME SHIFT EVALUATION

Student name:_________________ Preceptor ____________ Service _____________

Date__________ Shift start time __________ Shift end time ___________

Meets standard does not meet

Appearance, preparation

Student arrives with necessary tools and has a professional appearance.

Rapport.

Student has good rapport with crew, patients, family, hospital and 1^st responder crews.

General knowledge

Rate as: Above the standard, Standard, Below the Standard, or Unacceptable

Skills evaluation

Note whether by actual call or oral examination

Rate as meets the standard or does not meet the standard.

a. Patient Assessment: medical

b. Patient Assessment: trauma

c. Immobilization:

i. Supine

ii. Seated

iii. Standing takedown

iv. Splinting

v. Traction Splint

vi. Other

d. Patient assessment: behavioral

e. Bleeding and shock control

f. O2 administratration

g. Bag valve mask

h. Cardiac arrest management - AED

Comments by precepting paramedic: