Employee Name Station/ShiftDate

SKILL / SIGNATURE / DATE
Proficiently demonstrate the proper steps to change out an ‘M’ Cylinder on an EMS unit.
Explain how to document an apparatus defect on the ambulance for a burned out headlight.
Discuss, with your supervisor, the prerequisites and steps needed to:
  1. obtain an ambulance driver’s book
  2. take the written ambulance driver’s exam
  3. take the practical ambulance driver’s exam

Complete a medic inventory orientation (3rd person) program as established by the closest EMT-P to the employees’ assigned station. Orientation must include IV set-up, EKG monitor set-up, CPAP, and airway management kit set-up at a minimum.
Demonstrate how to properly treat the following injuries:
Impaled object
Abdominal evisceration
Flail chest

Written Assignments

A. Policy and Procedures

  1. Describe the scope and intent of the following

FCGO: 12-12, 14-13, and 14-08

MCFRS Policies 21-05 and 26-03, 28-02.

Also explain in your words why you think these policies are important

B. EMS Operations

  1. Explain what steps you need to take when you are involved in a collision involving MCFRS apparatus.
  1. Explain the process for restocking EMS supplies for your station when out of stock or when a medication is expired.
  1. Describe the procedure followed when medical equipment is left with a patient at a trauma center.
  1. Describe how to perform triage on the victims of a multi-casualty incident using START.
  1. Explain the patient priority classification system (clinical priority), and provide three examples of each priority.
  1. Describe the Presumed Dead on Arrival criteria used during patient assessment for resuscitation.
  1. Using the FERNO user guide in EMS quicklinks, what is the weight limit for the FERNO 35X stretcher?
  1. Describe the procedures to follow when dispatched to an assault incident where the scene is not yet secure.
  1. Explain how to add multiple patient reports to an incident in Emeds?

C. Area Knowledge:

1.Give the travel routes to the following, from your station:

 The nearest two trauma centers (Level II or above)

 The nearest two pediatric trauma centers

 The nearest two burn centers

 The nearest specialty referral center for eye trauma

 The nearest specialty for extremity trauma.

  1. Give the address of and the travel routes to the following from PSHQ:

•Code Enforcement

•Fire Investigation

•Internal Affairs (IA)

The work in this module is my own, and fully complies with the requirements addressed in the PSTA Recruit Training Rules and the Code of Academic Integrity

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Probationary Employees SignatureDate

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Station Officers’ Signature Printed NameDate

2015 MCFRS RC 40 Probationary Employee Training Program