Preceptor Training

Eastern Gateway Community College

EMS Program

Program Accreditation

• Ohio Department of Public Safety, Division of EMS Program #316

• Committee on Accreditation of Educational

Programs for the EMS Professions (CoAEMSP)

LOR Status Program #600635

Training Objectives

• Define what a preceptor is

• Define preceptor role and responsibilities

• Define the purpose of field training

• Define the field training requirements

• Understand the evaluation tools and their application

Training Objectives

• Understand the learning domains

• Understand the difference between formative and summative learning and evaluation

– Understand the difference between regular field clinical and summative field evaluation

• Understand techniques of giving feedback

• Recall contact information for the program

What is a preceptor?

• A mentor

• A teacher, instructor

• An identified experienced practitioner who provides transitional role support and learning experiences

What is the Preceptor’s Role and Responsibilities?

• Safety– Patient

– Student

• Role Model

• Educator/Information resource

• Evaluator

• Coach

• Field liaison to the program

What is the Purpose of Field Training?

• A structured field learning experience that assists students in reaching the program terminal goal:

“To prepare competent entry-level Emergency Medical Technician-Paramedics in the cognitive (knowledge), psychomotor (skills), and affective (behavior) learning domains”

What is the Purpose of Field Training?

• Field Training should stimulate growth.

• Should prepare student toward program terminal goal.

• Must evaluate all three learning domains:

– Cognitive – Knowledge

– Psychomotor – Skills

– Affective – Attitude

What are the field clinical requirements?

• First Semester - “regular clinical”

– Minimum 85 hours

– Minimum 15 ALS patient contacts

• Second Semester - “regular clinical”

– Minimum 85 hours

– Minimum 15 ALS patient contacts

What are the field clinical requirements?

• Third Semester• “Regular Field Clinical”

– Students must first complete 66 hours regular field clinical.

– Upon completion will be eligible to enter field summative.

• “Field Summative Evaluation”– Minimum 40 hours– Minimum 20 ALS team leads– Cannot start until majority of patient care learning

done in classroom.

What are the field clinical requirements?

• Third Semester – “Summative Field Evaluation”– Preceptor needs to let students lead as much as

possible• Student must earn positive team leader evaluations• Doesn’t require student to do every skill during call

– Must positively impact overall management of the call

• Be sure to mark clinical form check box “field summative”• Be sure to evaluate team leader ability and document• Student will need minimum two affective evaluations during

period

– Students should demonstrate “entry level paramedic skills”

Evaluation Tools

• Field Clinical Worksheet

• Affective Evaluation Form

• FISDAP

Field Clinical Worksheet

EASTERN GATEWAY COMMUNITY COLLEGE This form must be scanned and emailed to emsclinical@egcc.edu, or faxed to 740.266.3195

Field Clinical Worksheet

Shift Entry (Fill in blanks and circle all that apply) FISDAP Data Entered Date ________ Time ________

STUDENT NAME

DATE Shift Start Time Shift End Time Total Hours

AGENCY (print service/department name) Regular Field Time / Field Summative Time (circle one)

PRECEPTOR NAME (Print name/title)

Ventilation/Intubation 1 2 3 IV Access 1 2 3 4 5 Time

Time

Patient Age

Patient Age

Effectively Ventilated Y/N

Gauge

Tube Size Successful placement? Y/N

Blade type/size Location of IV (RH,AC etc.)

Successful Intubation Y/N Observers Initials

Observers Initials

Intubation Total Attempts _________ IV Total Attempts _________ Intubation Total Successful ________ IV Total Successful _________ Patient Log – Record Pertinent Information

29

Pt

Age Sex Primary Impression

EKG MOI/NOI AVPU GCS

RR HR BP Preceptor Initials Each Patient

1

2

3

4

5

Medication Name IM SQ PO IV Preceptor Initials

1. 2. 3. 4. 5.

Other Skills (list) Attempts Success Preceptor Initials

1. 2. 3. 4. 5.

Field Clinical Worksheet

• Shift Data

Field Clinical Worksheet

• Intubation/IV Access Documentation

Field Clinical Worksheet• Medications/Other Treatments

• Patient Log

Field Clinical WorksheetStudent Performance Rating

Field Clinical WorksheetSignature Area

Affective Evaluation Form

Affective Domain

• So called “soft skills”/attitude– Relatively new area of evaluation for EMS

– Competent/Not yet competent

– Evaluates 11 areas:• Integrity

• Empathy

• Self-motivation

• Appearance & personal hygiene

• Self-confidence

• Communications

Affective Domain

• So called “soft skills”/attitude

– Evaluates 11 areas:

• Teamwork

• Time management

• Respect

• Patient Advocacy

• Careful delivery of services

FISDAP

www.fisdap.net

FISDAP

FISDAP

• Internet based clinical management tool.– Documents clinical experience

• Student completes narrative, documentation of patient and skills performed.

• Student completes a preceptor evaluation

– Provides check sheets for preceptor completion• Not currently using

– Provides an area for preceptor to evaluate and provide comments and suggestions.

– Upon student completion, preceptor can review/verify and electronically sign off student.• Long term goal of eliminating paperwork

Giving Feedback

• Immediate

– Errors should be corrected immediately every time they occur

– Clear/Accurate

– Respectful

– Constructive vs Corrective

Feedback Strategy

• Constructive (Behavioral)

– Positive or Negative

• Describe – don’t label

• Don’t exaggerate

• Use “I” statements

• Avoid “need to” or “should” statements

• State consequences

Feedback Strategy

• Corrective (Procedural)

– Response for incorrect procedure or answer

• Analyze performance

• Identify correct and incorrect components

• Provide specific information to correct

• Positive feedback should be used when improvement noted

Feedback Strategy

• Feedback should not be a surprise

– If a student exhibits multiple weak areas focus on the most important area

• Goal being to shape behavior, not making the whole experience very negative.

• Develop a student specific plan for improvement, document on paperwork or FISDAP.

• Try and discover several things the student does good for one thing they do not.

• Contact the program if concerns are serious in nature.

EMS Program Contact Information

• Mike Freeman – EMS Program Director

– (740)266-9757

– mfreeman@egcc.edu

• Marty Thorn – Clinical Coordinator

– mthorn2@egcc.edu