Age
Chief Complaint
42
Chest Pain
Complete Assignment
39
Lower Back Pain
Complete Assignment
21
Laceration/ Dog Bite
Complete Assignment
53
Backpain
Complete Assignment
84
Headache, High BP, Numbness in left side of face.
Complete Assignment
32
Chest pain/ Shortness of breathe
Complete Assignment
65
Vertigo, Nausea, Dizzness
Complete Assignment
23
Sore Throat.
Complete Assignment
32
Rash on right side of neck
Complete Assignment
21
Nausea/ Vomitting
Complete Assignment
The patient contacts listed above were encountered on
5/23/2015
at
Habersham County Emergency Department
while riding with
on unit
. The clinical experience was scheduled to start at
1200
and conclude at
2400
. If you worked beyond slated departure time, click the edit link below and add the number of hours extra you worked in the box provided. Feel free to write any comments about the shift in the comments box. If this is your first time seeing this statement, please click the 'Edit' link below and answer the questions in the boxes provided.
Comments:
Hours Added:
Please Input Clinical Site Information Before Proceeding
TIME
PUNCTUAL
LOOK
PERF
CONF
NICE
COMPLETE
COMMENTS
NEG COMMENTS
7/23/2016 4:58:54 PM
7/23/2016 4:59:13 PM
7/23/2016 4:59:15 PM
Who did you ride with; what truck, need comments
7/23/2016 5:00:48 PM
8/14/2016 9:49:22 PM
3/13/2017 3:18:41 PM
Mission Complete, Ready To Do Another PCR or Quit
Please tell us about the Field Training Officer
Was the FTO trained to your level of training or higher?
Yes
No
Did the appearance of the ambulance and crew inspire confidence?
Yes
No
Did you feel learned something from the events of the day or the crew ?
Yes
No
Did you feel the FTO was knowledgeable about his/her job?
Yes
No
On a scale of 1 - 10 (1 being the worst and 10 being the best), how would you rate the experience with the FTO?
1
2
3
4
5
6
7
8
9
10
Did the FTO seem care about the patients who were contacted?
Yes
No
If you answered no to the above question, please explain how the FTO could improve.
What would you say are the finest character traits of this FTO?
Do you feel this FTO made you a better EMT/AEMT/Paramedic today?
Yes
No
Final and most important question, did you learn anything during the shift that we didn't cover in class or online?
Yes
No
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