Date post: | 20-Jul-2015 |
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Healthcare |
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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 [email protected], 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
• Marty Thorn – Clinical Coordinator