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FTO Training Check Off - Skills
Trainee Name:
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First
Last
Date Time
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Field Training Officers
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FTO #1
Please select
Bessonoff, Stavros
Cloud, Amber
Doyle, William
Edwards, Brittney
Gordon, Katie
Lopez, John
Major, Paul
McDonald, Rick
Miller, Jeffery
Moorefield, Peggie
Niermann, Andrew
Pisano, Andrew
Wilcox, Bradley
FTO #2
Please select
Bessonoff, Stavros
Cloud, Amber
Doyle, William
Edwards, Brittney
Gordon, Katie
Lopez, John
Major, Paul
McDonald, Rick
Miller, Jeffery
Moorefield, Peggie
Niermann, Andrew
Pisano, Andrew
Wilcox, Bradley
Glucometer
Hands On
Verbal
Inspect for damage
Lancets
Strips
Control Solution
Perform a check
Oxygen
Hands On
Verbal
Know how to replace a regulator on an O2 tank
Know how to refill an O2 cylinder
Demonstrate use of the Cascade system
Review the location of AirGas
Patient History
Hands On
Verbal
Effect a proper introduction to the patient
Establish patient's chief complaint
Establish predisposing factors
Ask relevant questions concerning chief complaint
Establish past medical history
Recognize when to seek additional history from family/friends
Ascertain medications
Ascertain allergies
Demonstrate the ability to delegate information gathering task to others
Assessment of patient and discharge paperwork while on scene
Physical Examination
Hands On
Verbal
Demonstrate consistent approach to primary survey
Demonstrate ability to recognize serious/critical signs and symptoms
Demonstrate consistent approach to secondary survey (complete head to toe)
Demonstrate ability to accurately measure vital signs
Demonstrate location of ALS drugs to assist ALS
Communication (Part 2)
Hands On
Verbal
Hospital radio report
Hospital written report
Report to nursing staff
Communication with patients and their family
Patient Refusal
Hands On
Verbal
Go over the refusal protocol
Complete a patient refusal (if possible)
Driving *Comment required for this section*
Hands On
Verbal
Demonstrates ability to drive in a safe manner
Demonstrates ability to drive non-emergency
Demonstrates ability to drive emergency
Demonstrates ability to park in proper parking at local ER/facilities
Airway Management
Hands On
Verbal
Demonstrates knowledge of location/setup for:
(OPA's and NPA's)
~How to measure~
~How to insert~
~Contraindications for use~
Know BVM parts/how to use the BVM
Nasal Cannula - proper placement and settings
Non Rebreather Mask - proper placement and settings
Venturi Mask - proper placement and settings
Skills Comments: