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2018-574-E Emergency Svc - South orange Rescue Squad operational agreement
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2018-574-E Emergency Svc - South orange Rescue Squad operational agreement
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Last modified
7/25/2019 2:29:12 PM
Creation date
9/19/2018 11:52:51 AM
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Template:
Contract
Date
9/18/2018
Contract Starting Date
9/18/2018
Contract Document Type
Agreement
Amount
$0.00
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DocuSign Envelope ID:79C5D167-B6CA-4E59-B4AC-AA38CC1 B20BD <br /> Recommendation for Release Phase <br /> The trainee Recommendation for Release should be completed with Precepting Shift Performance Records. If the <br /> trainee is recommended for release, complete Part 1. If the preceptor recommends that the trainee continues <br /> precepting, complete Part 2. <br /> Areas of competency that have been addressed and are critical to the success of employment of Orange County <br /> Emergency Services: <br /> • Patient Care <br /> • Communications <br /> • Documentation <br /> • Navigation <br /> • Call Management <br /> • Team Integration <br /> • Scene Safety <br /> • Vehicle Operations <br /> • Interpersonal/Team work <br /> • Skills/Procedures <br /> • Professionalism <br /> Trainee <br /> Recommended for Release: YES or NO <br /> Part 1: <br /> The trainee has completed all requirements to be released and has passed the written map and knowledge test. <br /> The trainee has demonstrated capability in all competency areas as indicated on the attached Periodic Progress <br /> Report. <br /> Trainee Signature: Preceptor Signature: <br /> Date: Date: <br /> Training Officer: Supervisor Signature: <br /> Date: Date: <br /> Medical Director: <br /> Date: <br /> For Training Officer use <br /> #of Shifts Drug Test Medical Boards Protocol Test <br /> #of Skills Check off Precepting Sheets 12 Lead test <br /> Patients <br /> SOG Test Sim-Lab Map Test <br /> 29 <br />
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