Orange County NC Website
Browse       Search
 <br /> <br />29|Page <br /> <br /> <br /> <br /> <br />Recommendation for Release Phase ________ <br /> <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 thatthe trainee continues <br />precepting, complete Part 2. <br /> <br />Areas of competency that have been addressed and are critical to the success ofemployment of Orange County <br />Emergency Services: <br /> <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 /> <br />Trainee <br />Recommended for Release: ___ YES or ____ NO <br /> <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 /> <br />Trainee Signature: <br /> <br />Date: <br />Preceptor Signature: <br /> <br />Date: <br />Training Officer: <br /> <br /> <br /> <br />Date: <br />Supervisor Signature: <br /> <br /> <br /> <br />Date: <br />MedicalDirector: <br /> <br /> <br /> <br />Date: <br /> <br />ForTrainingOfficeruse <br /># of Shifts Drug Test Medical Boards Protocol Test <br />#of <br />Patients <br />Skills Check off Precepting Sheets 12 Lead test <br />SOG Test Sim-Lab Map Test  <br /> <br />DocuSign Envelope ID: 79C5D167-B6CA-4E59-B4AC-AA38CC1B20BD