Maryland Field Preceptor & EMT-B Field Training Coach Orientation Program

1. Maryland Field Preceptor & EMT-B Field Training Coach Orientation Program For use in the EMT-B, CRT (EMT-I), and EMT-P Educational and Operational Programs Maryland Institute for Emergency Medical Services Systems

2. Orientation Program Objectives • By the conclusion of the Field Preceptor & EMT-B Field Training Coach orientation program, the participant shall be able to: • recall the expectations, roles and responsibilities of the field preceptor; • recall the documentation required by the local EMS operational program and training program; Maryland Institute for Emergency Medical Services Systems

3. Orientation Program Objectives • Objectives continued... • complete the documentation required by the local EMS operational program and training program; • recall the modules in the ALS curricula and/or the EMT-B curriculum; • recall local operational policies and procedures for field precepting; and Maryland Institute for Emergency Medical Services Systems

4. Orientation Program Objectives • Objectives continued… • recall the skills and medications allowed to be performed by the student or candidate. Maryland Institute for Emergency Medical Services Systems

5. Orientation Program Outline • Preceptor terminology • Roles, responsibilities and expectations of the Field Preceptor; • Requirements of Candidates; • Documentation for the Field Preceptor; • BLS and ALS curricula; • Local operational policies & procedures; • Permitted skills and medications Maryland Institute for Emergency Medical Services Systems

6. Terminology • Candidate is a: • Student seeking Maryland EMS licensure or certification; or • Provider seeking approval to function within an EMS operational program. Maryland Institute for Emergency Medical Services Systems

7. Terminology • Internship is a field experience encountered by a Maryland EMS candidate. • Preceptorship is a field experience encountered by a licensed Maryland EMS provider seeking approval from an EMS operational program. Maryland Institute for Emergency Medical Services Systems

8. Terminology • EMT-B Field Training Coach is an individual who supervises and evaluates EMT-B: • Candidates during the EMT-B internship program; or • Providers seeking EMS operational program approval. Maryland Institute for Emergency Medical Services Systems

9. Terminology • Field Preceptor: The field preceptor supervises and evaluates EMT-I (CRT) and EMT-P: • Students seeking Maryland licensure as an EMS provider; or • Licensed providers seeking EMS operational program approval. Maryland Institute for Emergency Medical Services Systems

10. Roles, Responsibilities & Expectations of the Field Preceptor & EMT-B Field Training Coach • Familiarize the candidate with gear, equipment and S.O.Ps before the beginning of a tour, if practical; • Evaluate and observe the actions and interventions of the candidate at the scene of the emergency response; • If appropriate and needed, intervene during the emergency incident; Maryland Institute for Emergency Medical Services Systems

11. Roles, Responsibilities & Expectations of the Field Preceptor & EMT-B Field Training Coach • If applicable, initiate “down-time” activities such as: • Assisting with homework assignments, • Working to improve skills, • Assisting with identified or perceived weaknesses, and • Reviewing classroom materials and quizzes; Maryland Institute for Emergency Medical Services Systems

12. Roles, Responsibilities & Expectations of the Field Preceptor & EMT-B Field Training Coach • Critique each incident upon return to the station; and • Assure that all documentation and paperwork is thoroughly completed, including skills activity sheets. Maryland Institute for Emergency Medical Services Systems

13. Roles, Responsibilities & Expectations of the Field Preceptor & EMT-B Field Training Coach • The following should be considered when providing feedback to candidates: • Honest feedback is a must! • Keep the feedback informational, not personal. • Base feedback on performance standards. • Identify corrective measures. • Give feedback promptly. Maryland Institute for Emergency Medical Services Systems

14. Roles, Responsibilities & Expectations of the Field Preceptor & EMT-B Field Training Coach • Feedback continued • Give feedback often. • Always strive to provide positive reinforcement • “Look for the candidates doing something right as early and as often as possible, then praise them. Show them how they are improving and how relevant those improvements are to patient care.” • “Competence breeds confidence and self-motivation!” Taken from EMT Teaching, A Common Sense Approach, R.A. Cherry, 1998 Maryland Institute for Emergency Medical Services Systems

15. Requirements of Candidates • Student eligibility for internship • EMT-B students must: • Successfully complete up to the Patient Assessment Module of the 1994 DOT EMT-B Curriculum; • Have the approval of the course instructor; and • Have the approval of the EMS operational program and company where the internship is to occur. Maryland Institute for Emergency Medical Services Systems

16. Requirements of Candidates • Student eligibility for internship • ALS students must have the approval of the: • ALS course instructor; • Training program’s medical director; and • EMS operational program medical director and/or his/her designee Maryland Institute for Emergency Medical Services Systems

17. Requirements of Candidates • Provider eligibility for preceptorship • To be eligible for a preceptorship, the licensed or certified provider must: • Receive approval from the local EMS operational program; • Receive a protocol orientation or review; • Possess a valid Maryland license or certificate or national registration from the NREMT; and • Meet the requirements of the local EMS operational program. Maryland Institute for Emergency Medical Services Systems

18. Requirements of Candidates • State Requirements for internship • The EMT-B student must successfully complete five pt. assessments comprised of: • Interviewing and assessing the patients under the direct supervision and guidance of a preceptor; • Recording patient history and assessment on a MAIS or compatible prehospital care report; and • Receiving a satisfactory evaluation from the instructor and preceptor. Maryland Institute for Emergency Medical Services Systems

19. Requirements for Candidates • State Requirements for internship continued • CRT (EMT-I) and EMT-P students must meet the training program’s minimum number of assessments, medication administrations, and skills set forth by the program. Maryland Institute for Emergency Medical Services Systems

20. Requirements for Candidates • Local Requirements for internship • INSERT LOCAL REQUIREMENTS FOR MINIMUM SKILLS, MEDS, & ASSESSMENTS HERE Maryland Institute for Emergency Medical Services Systems

21. Documentation • EMT-B • The preceptor should complete the front of the EMT-B Internship Patient Assessment document and provide comments as necessary. • The preceptor should also initial the EMT-B Internship coversheet and write the incident’s MAIS number to signify successful completion of a patient assessment. Maryland Institute for Emergency Medical Services Systems

22. Documentation • EMT-B continued • PASTE LOCAL EMS OPERATIONAL PROGRAM AND TRAINING AGENCY REQUIREMENTS HERE • CRT (EMT-I) and EMT-P • PASTE LOCAL EMS OPERATIONAL PROGRAM AND TRAINING AGENCY REQUIREMENTS HERE Maryland Institute for Emergency Medical Services Systems

23. EMT-B Curriculum • 131-hour EMT-B Curriculum • 1-Preparatory • 2-Airway • 3-Patient Assessment • 4-Medical • 5-Trauma • 6-Infants & Children • 7-Operations Maryland Institute for Emergency Medical Services Systems

24. EMT-I Curriculum • Approximately 300 hour EMT-I Curriculum • 1-Preparatory • 2-Airway Management and Ventilation • 3-Patient Assessment • 4-Trauma • 5-Medical • 6-Special Considerations • 7-Assessment Based Management Maryland Institute for Emergency Medical Services Systems

25. EMT-P Curriculum • Approximately 1000-1200 hour EMT-P curriculum • 1-Preparatory • 2-Airway Management and Ventilation • 3-Patient Assessment • 4-Trauma • 5-Medical • 6-Special Considerations • 7-Assessment Based Management • 8-Operations Maryland Institute for Emergency Medical Services Systems

26. Local Operational Policies & Procedures • PLACE ANY/ALL POLICIES PROCEDURES HERE Maryland Institute for Emergency Medical Services Systems

27. Permitted Skills and Medications • Refer to Appendix B of the Maryland Medical Protocols for EMS Providers. • Candidates should not exceed the predefined scope of practice as defined in the State protocols. Maryland Institute for Emergency Medical Services Systems

28. Summary • Preceptor terminology • Roles, responsibilities and expectations of the Field Preceptor; • Requirements of Candidates; • Documentation for the Field Preceptor; • BLS and ALS curricula; • Local operational policies & procedures; • Permitted skills and medications Maryland Institute for Emergency Medical Services Systems