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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
9/19/2018 12:11:35 PM
Creation date
1/28/2019 2:54:38 PM
Metadata
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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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ORANGECOUNTY EMERGENCYSERVICES <br />End of Shift Performance Record <br />Preceptee Name: Preceptor Name: <br />Instructions : Section 2 <br />At the conclusion of each shift preceptors should evaluatethetrainee'sperformanceforthedayand develop a planforthefuture. <br />**Preceptors should document rating in a fashion that can reflect the true fashion of how well a preceptee progresses. <br />Ratings:12345678910N/A <br />1=Needs remediation: Competency not demonstratedtothepointofdidacticalremediationisnecessary. <br />3=Needs improvement: Very basic components aredemonstratedbutneedsimprovement. <br />5=Demonstrates basic profiency but may periodicallyrequireprompting. <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 PreparednessEquipment and Supplies <br />Scene Safety Interpersonal/Teamwork <br />Vehicle OperationsCall Management <br />Navigation Teamwork <br />Comments <br />Overall Performance: Indicate how the trainee performedoverallonallevaluationfactorsduringthisshift. <br />Development Plan: Identify specific competencies whichneedtobeimprovedor learnedandspecificactions to achieve this. <br />Preceptor Signature: <br />Date: <br />I have read and understand this <br />evaluation.Trainee Signature: <br />Date: <br />DocuSign Envelope ID: 79C5D167-B6CA-4E59-B4AC-AA38CC1B20BD
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