q Other (explain) Meets
expectations M
______________________ Areas
for improvement I
Not
applicable NA
ESSENTIAL FUNCTIONS:
1.
Maintains
confidentiality of all patient information.
q
Communication
patient’s information only with individuals directly involved in the patient
care.
q
Discuss
patient’s personal information only in an appropriate place at an appropriate
time.
q
Carries
out decisions and action in an ethical manner that ensures human autonomy,
dignity, and rights.
q
Provides
peers with constructive comments in a confidential manner that protects and
enhances working relationships.
q
Responds
to constructive comments from peers and supervisors in a positive manner,
respecting their desire for confidentiality.
Comments:
2.
Maintains
self, ambulance, equipment and supplies in a prepared state to respond to all
emergencies.
q
Responds
to calls in appropriate time, manner, uniform, ready to work.
q
Performs
vehicle checkouts completely and timely.
q
Reports
any malfunctioning equipment to supervisor or replaces/repairs appropriate
items as needed.
q
Restocks
ambulance after calls and completes necessary clean up of cot, vehicle and
equipment.
Comments:
Rating: _____
3.
Communication
effectively with patients, members, and the public.
q
Explains
procedures completely and understandably to each patient and their family
answer their questions and concerns effectively.
q
Communicates
from the field with medical Control and other EMS agencies when appropriate.
Contacts Wright County when 10-8, 10-76, 10-23, 10-24. Contacts Medical control
with requests for advanced procedures and to give patient report.
q
Provides
and accepts constructive criticism in a positive manner.
q
Can
effectively present to the public, the function of the department as part of
the EMS System.
q
Acts
as an informal role model for First responders and EMT-basic students during
their ride time.
Comments:
4.
Operates
ambulance and equipment in a safe and efficient manner.
q
Observes
posted speed limits and traffic control devices, uses seat belt at all times.
q
Follows
departmental policy regarding driving speed while on emergency dispatches.
q
Uses
back-up alarm and emergency lights and sirens when appropriate.
q
Demonstrates
proficiency in proper disposal of sharps.
q
Takes
proper precautions when dealing with hazardous environments as they pertain to
the vehicle and it is integrity.
Comments:
5.
Performs
patient assessment.
q
Performs
appropriate and thorough patient assessment including triage in multiple
patient situations.
q
Performs
a complete physical examination based on chief of present illness, physical
findings, pertinent negatives, and environment, past medical history, and signs
and symptoms.
Comments:
6.
Applies
knowledge and skills of emergency pre-hospital care and treatment, including
personal safety, utilization of additional resources as needed, provides
appropriate level of care for situation and provides adequate transportation of
each patient.
q
Utilizes
appropriate safeguards when confronted with possible hazardous situations, does
not rush in without due concern for self and member’s. Takes appropriate
measures to provide for scene safety.
q
Dispatches
the aid of EGPD and EGFD or other EMS agencies when needed to control of
situation.
q
Initiates
BLS and ALS procedures at appropriate time utilizing good judgement for
prioritization of care.
q
Choose
correct route and speed of travel for specific situations.
Comments:
7.
Meets
all physical activity and visual acuity requirements as specified by the job
description.
q
Incurred
no work-related injuries or illnesses due to poor/inadequate physical
condition.
q
Utilizes
adequate sleeping patterns so as not to experience undue fatigue during alarm
calls.
Comments:
8.
Routinely
displays properties associated with acceptable patterns for behavior and
interpersonal relationships.
q
Have
no disciplinary actions beyond a verbal counseling.
q
Has
no complaints concerning a consistently visibly poor attitude, is tactful and
diplomatic.
q
Is
receptive to change and helps to implement change in a cooperative manner.
Comments:
9.
Assists
with Community EMS Education and promotes a positive image to the public.
Comments:
10.
Adapts
well, emotional and intellectually, to change situations as they arise in
various work areas.
q
Manages
stressful situations appropriately when dealing with life threatening patient
conditions, or while in potentially hazardous environments.
q
Performs
a variety of duties with no loss of efficiency or quality of work.
q
Maintains
constant mental alertness and is able to prioritize duties for effective time management.
q
Displays
proficiency in calculating drug dosages, administering medications via all
acceptable routes, and initiating and maintaining medicated intravenous
infusions without having medication errors occur and reports filed for the
period of this appraisal.
q
Utilizes
acceptable techniques for initiating intravenous infusions and develops
proficiency in same as shown by successful completion of skills maintenance
program minimums.
q
Maintains
a patient airway utilizing oral/nasal airways, combi-tube, edotracheal tubes,
suctioning devices, and oxygen administration equipment.
q
Recognizes
various life threatening dysrhythmias and treats appropriately according to
protocols procedures.
q
Utilizes
appropriate cleaning measures and dressing for various soft tissue injuries.
q
Takes
a leadership role when confronted with multiple patients in performing triage
and prioritizing care and transport of injured persons.
q
Display
adequate knowledge of our service area, knows how to initiate a mutual aid
response and understands common practices when tiering with outside agencies to
provide advanced pre-hospital care.
Comments:
11.
Adheres
to policies and regulations set forth by the Department, and the State of Iowa
Department of Public Health, EMS section as they apply.
q
Is
familiar with, and adheres to general, departmental polices as they are set
forth in the saftey, procedure book and Exposure Control Plan
q
Is
aware of, and complies with, State requirements for functioning as an
EMT/Paramedic in Iowa.
Comments:
12.
Assumes
share of additional on call and scheduling needs.
Comments: