Form Library

Skill Sheet Documentation Forms

Welcome to the Global Emergency Medical Registry (GEMR) skills documentation forms library.

The GEMR skills documentation forms library serves several purposes:

1. The skills documentation forms found here are the minimum acceptable standards for skills practice and documentation for candidates seeking GEMR certification.
2. Instructors and schools should reference the GEMR testing page to identify the minimum skills documentation forms required for each level of GEMR certification; these must be proctored by a properly trained instructor who has performed the skills being proctored. The completed and signed skills documentation form should be provided to the candidate so they may upload the documents to their GEMR profile under the “transcripts” section of their profile.
3. The skills documentation forms found here are to be used by examiners testing candidates for GEMR certification, outside of a formal training program.

Please note that in compliance with ISO standards, the skills documentation forms found here in the library are dated for reference to the current standards and forms are under an annual or biannual auditing process to assure compliance to the current standards. Please ensure you have the current forms from this library and are not using outdated materials.

Please note that the assumption is made that all patient care is performed with proper Body Substance Isolation and safety precautions performed.

Please contact GEMR with any questions on the skills documentation forms found here in the library.

47 documents available.

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Exam Preparation Guides

Welcome to the Global Emergency Medical Registry (GEMR) exam guide library.

The GEMR the exam guide library serves several purposes:

1. The exam guides found here will help the candidate seeking GEMR certification with study for the exam process.
2. Please be sure you are using the current document; all guides do include a date in the download title.
3. Please note that in compliance with ISO standards, the guides found here in the library are dated for reference to the current standards and guides are under an annual or biannual auditing process to assure compliance to the current standards.

Please contact GEMR with any questions on the exam guides found here in the library.

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Daily Observation Reports

A Daily Observation Report (DOR) is a training document used by Preceptors and Field Training Officers (FTO) to record and evaluate an intern’s performance during their shift, detailing their knowledge, skills, and judgment in various scenarios, highlighting areas of competency and areas needing further development, and providing feedback for improvement.

The Global Emergency Medical Registry (GEMR) strongly supports the use of DOR’s for internship evaluation, education, and remediation. GEMR provides several DOR’s here in the library for use during internship programs or post-employment orientation.

GEMR requests, at a minimum, that new graduate candidates for Paramedic, Advanced Practice Paramedic, and Resuscitation Officer upload their DORs under the transcript tab in their profile.

The DOR should include the following elements:

1. Trainee information: Name, date, shift details
2. FTO information: Name, signature
3. Call details: Patient presentation, interventions performed, key decisions made
4. Skill assessment:
5. Patient assessment techniques (primary survey, secondary survey)
6. Medication administration
7. Advanced airway management (if applicable)
8. Basic life support skills (CPR, defibrillation)
9. Documentation and reporting
10. Communication with patient and family
11. Communication with dispatch and hospital staff
12. Team communication with other EMS providers
13. Complex decision-making and judgment
14. Appropriate treatment selection based on patient presentation
15. Recognition of critical situations
16. Safe patient handling practices
17. Professionalism and ethics
18. Appearance and demeanor
19. Patient confidentiality
20. Adherence to protocols and policies

How to use a DOR:

1. Brief Observation Period
   1. At the start of the day, the FTO should assure the trainee knows what areas are to be emphasized that session, what duties and perimeters the trainee is responsible for, and the FTO should establish a “Step Out” phrase for the trainee.
   2. Step Out Phase is a phrase used by the FTO to alert the trainee to step out of the lead roal and become the FTO’s assistant, with the FTO now taking over control and leadership for the incident or care.
   3. The start of shift briefing should be documented.
2. Observe and document:
   1. The FTO actively observes the trainee throughout the shift, noting their actions, decisions, and interactions with patients and other healthcare providers, documenting key details on the DOR form.
   2. Observations where the trainee did not meet standard should be documented in detail.
3. Provide feedback:
   1. During the shift, the FTO should offer immediate feedback to the trainee on their performance, highlighting areas of strength and areas needing improvement.
   2. At the end of the daily observation period, the FTO should provide a timeline based feedback on the day’s activities.
4. Regular debriefing:
   1. After each shift, the FTO and trainee should discuss the trainee's performance based on the DOR, addressing any concerns and setting goals for further development.

Benefits of using DORs in EMS training:

1. Standardized evaluation:
   1. Provides a structured framework for assessing trainee competency across different scenarios.
2. Targeted feedback:
   1. Allows the FTO to identify specific areas where the trainee needs additional training or practice
3. Progress tracking:
   1. Enables monitoring of trainee progress over time
4. Quality assurance:
   1. Helps ensure that new EMS providers are meeting the required standards of practice

GEMR provides the following DOR’s available for use by organizations and schools conducting educational programs leading to GEMR certification. Additional DOR types are added as they complete the review process.

2 documents available.

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