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DocuSign Envelope ID:79C5D167-B6CA-4E59-B4AC-AA38CC1 B20BD <br /> ORANGE COUNTY EMERGENCY SERVICES <br /> End of Shift Performance Record <br /> Preceptee Name: Preceptor Name: <br /> Instructions:Section 2 <br /> At the conclusion of each shift preceptors should evaluate the trainee's performance for the day and develop a plan for the future. <br /> **Preceptors should document rating in a fashion that can reflect the true fashion of how well a preceptee progresses. <br /> Ratings: 1 2 3 4 5 6 7 8 9 10 N/A <br /> 1=Needs remediation:Competency not demonstrated to the point of didactical remediation is necessary. <br /> 3=Needs improvement:Very basic components are demonstrated but needs improvement. <br /> 5=Demonstrates basic profiency but may periodically require prompting. <br /> 7= Demonstrates profenicy and meets all current standards. <br /> 10=Superior performance <br /> Overall Assessment of Evaluation Factors <br /> EVALUATION FACTOR RATING EVALUATION FACTOR RATING <br /> Patient Care: BLS Communications <br /> Patient Care:ALS Documentation: <br /> Duty Preparedness Equipment and Supplies <br /> Scene Safety Interpersonal/Teamwork <br /> Vehicle Operations Call Management <br /> Navigation Teamwork <br /> Comments <br /> Overall Performance: Indicate how the trainee performed overall on all evaluation factors during this shift. <br /> Development Plan: Identify specific competencies which need to be improved or learned andspecific actions to achieve this. <br /> Preceptor Signature: <br /> Date: <br /> I have read and understand this <br /> evaluation.Trainee Signature: <br /> Date: <br />