Resident EMS Daily Rotation
Resident Name *
Your answer
Date of Ride-Along *
MM
/
DD
/
YYYY
Unit & Tour *
Your answer
Ride-Along Assessment *
Below Average
Subpar
Average
Very Good
Exceptional
Has an organized approach to evaluation and management of patients in the prehospital setting.
Provides effective and compassionate care of patients (H&P, procedures, plan, etc.)
Delivers concise presentation and has strong interpersonal relations -- teamwork, skills with patient/family, hospital presentation.
Avoids repetitive mistakes, seeks improvement from prior cases (if available).
Arrives on time in neat, appropriate dress. Reliable, assists other team members. Professional and mature while on ride-alongs.
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