Title Page
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EMT Name:
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PR Number
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EMT email
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EMT Phone Number
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Orientation started on:
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Hospital badge and parking hang tag obtained. Parking garage rules explained.
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Driver's license number and expiration given to CFN or Lead EMT.
Vehicle Operations AC1 and AC2 (Freightliners)
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Demonstrates competence in the following:<br><br>Use of automatic transmission<br><br>Air Brakes<br><br>Engine (Exhaust) Brake- (wet conditions, low and high settings)<br><br>Understands the gauges in dash<br><br>Regen System (ATS)<br><br>Emergency and Non-Emergency lights and signals<br><br>Use of mirrors and camera system
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Demonstrates competence in checking the emergency braking system on air brake equipped vehicles and understands how emergency brake works.<br><br>
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Demonstrates competence with the following at Tropicana Field parking lot. (Access lot from 4 Ave S right on 10th St S)<br><br>Performing tight right and left turns using mirrors and avoid hitting curbs.<br><br>Backing to right and left keeping truck within lines.<br>
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Demonstrates competence driving in city and highway conditions.<br><br>Understands appropriate speeds and following distances for oversized vehicles in different driving conditions. (Following distance should be 3-5 seconds depending on speed or road surface conditions).<br><br>Makes safe and appropriate lane changes.
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Understands Code 3 response mode in oversized ambulance. (No curb hopping, maintain safe following distance)
Vehicle Operations AC3 (International)
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Demonstrates competence in use of the following:<br><br>Use of automatic transmission<br><br>Understands gauges in dash<br><br>Emergency and Non-Emergency lights and signals<br><br>Use of mirrors and cameras
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Demonstrates competence in city and highway driving conditions <br><br>Appropriate speeds for oversized vehicles<br><br>Appropriate lane changes
Ambulance Readiness
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**ACH CCT Team has a 15 minute mobilization time from the time the patient is accepted by a physician** Team may opt to go enroute prior to the patient being accepted if patient acuity is high.
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Understands that the ACH RN, RT, and dispatch need to have a way to reach you at all times and to let them know where you are especially if you need to leave the hospital grounds.<br><br>
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Competence in fueling locations and procedures
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Understands the importance of disinfecting the patient care area and equipment in between each patient transport.<br><br>Keeping the crew cab and outside of ambulance clean.
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Competence in using iPad for completing and sending all truck check and truck swap forms.
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Competence in unit preparedness, including checking and restocking equipment.<br><br>Can identify equipment in ambulance.<br><br>Knows where to obtain equipment for restocking.<br><br>Understands onboard Medical air/O2 minimums and knows the procedure for changing tanks.<br>
Unit Failures
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Capable of determining critical failures vs non-critical failures and how to trouble shoot.
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Knows who to contact about mechanical issues or failures and who to notify by email.<br><br>Text or call Scott Burford for any immediate truck concerns.<br><br>Email ACH CFN, SS ACH supervisor, and SS Fleet Manager after the fact for unit failures and follow-up.
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Capable of writing up unit failures or maintenance issues in Sunny Fleet.
Unit Swap
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Knows how to swap equipment between ACH Units and into an SS Unit using the swap checklist on the iPad and how to place a unit out of service.
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Knows what is contained in the SS Unit bag and the tank bag and where they are located.
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Knows the procedure for requesting a SS Unit and emailing Scott Burford, ACH CFN, and SS ACH Supervisor confirming when it has been picked up and dropped off.
Preparing for and cleaning up after calls
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Knows what additional equipment needs to be packed for every transport.<br>
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Knows how to build crew on truck and build calls with SS dispatch.
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Understands how to clean and remake equipment after calls and put equipment back.
Consents and Face Sheets
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Capable of getting both ACH and SS consents signed by the parent/ legal guardian of the patient.<br><br>
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Capable of faxing accepting facility face sheet to SS Billing Dept, attaching an ECG strip (when applicable), and placing them in ACH mailbox.
Communication
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Demonstrates competence communicating ambulance and other important issues to oncoming staff/ EMTs by filling out the log and giving verbal report (when relevant).
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Demonstrates competence communicating with Scott, ACH CFN, SS ACH Supervisor, and SS Fleet Manager about ambulance and other important issues.
Administrative and Station Duties
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Knows how to check SS interoffice email and access Sunny Fleet.
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Knows where the calendar of station duties is and how to do terminal cleaning.<br><br>Knows how to check off that station duties have been done on iPad 'Checklist' app.
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Knows the location of both SS and ACH MSDS forms, scheduling and payroll forms, and contact phone numbers.<br><br>
Flights
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Review helipad safety rules and fire suppression with ACH safety officer.
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Reviewed preparing for, pick up, and drop off procedures for fixed wing transports (national and international).
Log Transport
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Document referring and receiving hospital and duties performed by orientee. Add any comments to the notes section.
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Date of transport
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Referring hospital
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Receiving hospital
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Duties performed
- Observe
- Drive w/o patient loaded
- Drive w/ patient loaded
- Load/Unload Equipment
- Get Consents Signed
- Assist crew w/ patient (fluids, pumps, monitor)
- Attend patient w/ crew in ambulance
- Pack/Unpack equipment
- Attend delivery at Baby Place
Log Transport
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Document referring and receiving hospital and duties performed by orientee. Add any comments to the notes section.
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Date of transport
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Referring hospital
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Receiving hospital
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Duties performed
- Observe
- Drive w/o patient loaded
- Drive w/ patient loaded
- Load/Unload Equipment
- Get Consents Signed
- Assist crew w/ patient (fluids, pumps, monitor)
- Attend patient w/ crew in ambulance
- Pack/Unpack equipment
- Attend delivery at Baby Place
Log Transport
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Document referring and receiving hospital and duties performed by orientee. Add any comments to the notes section.
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Date of transport
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Referring hospital
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Receiving hospital
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Duties performed
- Observe
- Drive w/o patient loaded
- Drive w/ patient loaded
- Load/Unload Equipment
- Get Consents Signed
- Assist crew w/ patient (fluids, pumps, monitor)
- Attend patient w/ crew in ambulance
- Pack/Unpack equipment
- Attend delivery at Baby Place
Log Transport
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Document referring and receiving hospital and duties performed by orientee. Add any comments to the notes section.
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Date of transport
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Referring hospital
-
Receiving hospital
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Duties performed
- Observe
- Drive w/o patient loaded
- Drive w/ patient loaded
- Load/Unload Equipment
- Get Consents Signed
- Assist crew w/ patient (fluids, pumps, monitor)
- Attend patient w/ crew in ambulance
- Pack/Unpack equipment
- Attend delivery at Baby Place
Log Transport
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Document referring and receiving hospital and duties performed by orientee. Add any comments to the notes section.
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Date of transport
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Referring hospital
-
Receiving hospital
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Duties performed
- Observe
- Drive w/o patient loaded
- Drive w/ patient loaded
- Load/Unload Equipment
- Get Consents Signed
- Assist crew w/ patient (fluids, pumps, monitor)
- Attend patient w/ crew in ambulance
- Pack/Unpack equipment
- Attend delivery at Baby Place
Log Transport
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Document referring and receiving hospital and duties performed by orientee. Add any comments to the notes section.
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Date of transport
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Referring hospital
-
Receiving hospital
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Duties performed
- Observe
- Drive w/o patient loaded
- Drive w/ patient loaded
- Load/Unload Equipment
- Get Consents Signed
- Assist crew w/ patient (fluids, pumps, monitor)
- Attend patient w/ crew in ambulance
- Pack/Unpack equipment
- Attend delivery at Baby Place
Log Transport
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Document referring and receiving hospital and duties performed by orientee. Add any comments to the notes section.
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Date of transport
-
Referring hospital
-
Receiving hospital
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Duties performed
- Observe
- Drive w/o patient loaded
- Drive w/ patient loaded
- Load/Unload Equipment
- Get Consents Signed
- Assist crew w/ patient (fluids, pumps, monitor)
- Attend patient w/ crew in ambulance
- Pack/Unpack equipment
- Attend delivery at Baby Place
Log Transport
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Document referring and receiving hospital and duties performed by orientee. Add any comments to the notes section.
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Date of transport
-
Referring hospital
-
Receiving hospital
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Duties performed
- Observe
- Drive w/o patient loaded
- Drive w/ patient loaded
- Load/Unload Equipment
- Get Consents Signed
- Assist crew w/ patient (fluids, pumps, monitor)
- Attend patient w/ crew in ambulance
- Pack/Unpack equipment
- Attend delivery at Baby Place
Completion
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Demonstrates a professional and respectful demeanor to team members, hospital staff, patients, and families.
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Dates of orientation shifts.
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Number of shifts
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Date cleared
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I am comfortable performing the duties required of me as an ACH EMT. I understand that when I am functioning as such, I am representing the ACH Critical Care Transport Team and All Children's Hospital. I acknowledge that my role is to be an engaged member of the team and participate in the team's mission of providing outstanding neonatal and pediatric medical care.
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I affirm that the above named EMT has completed the ACH orientation process and has demonstrated competence in performing the required duties of the ACH EMT position.
