Maryland Field Preceptor &
EMT-B Field Training Coach
Orientation Program
For use in the EMT-B, CRT (EMT-I),
and EMT-P Educational and
Operational Programs
Maryland Institute for Emergency Medical Services Systems
Orientation Program Objectives
• By the conclusion of the Field Preceptor &
EMT-B Field Training Coach orientation
program, the participant shall be able to:
– recall the expectations, roles and
responsibilities of the field preceptor;
– recall the documentation required by the local
EMS operational program and training
program;
Maryland Institute for Emergency Medical Services Systems
Orientation Program Objectives
• Objectives continued...
– complete the documentation required by the
local EMS operational program and training
program;
– recall the modules in the ALS curricula and/or
the EMT-B curriculum;
– recall local operational policies and procedures
for field precepting; and
Maryland Institute for Emergency Medical Services Systems
Orientation Program Objectives
• Objectives continued…
– recall the skills and medications allowed to be
performed by the student or candidate.
Maryland Institute for Emergency Medical Services Systems
Orientation Program Outline
• Preceptor terminology
• Roles, responsibilities and expectations of the
Field Preceptor;
• Requirements of Candidates;
• Documentation for the Field Preceptor;
• BLS and ALS curricula;
• Local operational policies & procedures;
• Permitted skills and medications
Maryland Institute for Emergency Medical Services Systems
Terminology
• Candidate is a:
– Student seeking Maryland EMS licensure or
certification; or
– Provider seeking approval to function within an
EMS operational program.
Maryland Institute for Emergency Medical Services Systems
Terminology
• Internship is a field experience encountered
by a Maryland EMS candidate.
• Preceptorship is a field experience
encountered by a licensed Maryland EMS
provider seeking approval from an EMS
operational program.
Maryland Institute for Emergency Medical Services Systems
Terminology
• EMT-B Field Training Coach is an
individual who supervises and evaluates
EMT-B:
– Candidates during the EMT-B internship
program; or
– Providers seeking EMS operational program
approval.
Maryland Institute for Emergency Medical Services Systems
Terminology
• Field Preceptor: The field preceptor
supervises and evaluates EMT-I (CRT) and
EMT-P:
– Students seeking Maryland licensure as an
EMS provider; or
– Licensed providers seeking EMS operational
program approval.
Maryland Institute for Emergency Medical Services Systems
Roles, Responsibilities & Expectations of the Field
Preceptor & EMT-B Field Training Coach
• Familiarize the candidate with gear,
equipment and S.O.Ps before the beginning
of a tour, if practical;
• Evaluate and observe the actions and
interventions of the candidate at the scene
of the emergency response;
• If appropriate and needed, intervene during
the emergency incident;
Maryland Institute for Emergency Medical Services Systems
Roles, Responsibilities & Expectations of the Field
Preceptor & EMT-B Field Training Coach
• If applicable, initiate “down-time” activities
such as:
– Assisting with homework assignments,
– Working to improve skills,
– Assisting with identified or perceived
weaknesses, and
– Reviewing classroom materials and quizzes;
Maryland Institute for Emergency Medical Services Systems
Roles, Responsibilities & Expectations of the Field
Preceptor & EMT-B Field Training Coach
• Critique each incident upon return to the
station; and
• Assure that all documentation and
paperwork is thoroughly completed,
including skills activity sheets.
Maryland Institute for Emergency Medical Services Systems
Roles, Responsibilities & Expectations of the Field
Preceptor & EMT-B Field Training Coach
• The following should be considered when
providing feedback to candidates:
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Honest feedback is a must!
Keep the feedback informational, not personal.
Base feedback on performance standards.
Identify corrective measures.
Give feedback promptly.
Maryland Institute for Emergency Medical Services Systems
Roles, Responsibilities & Expectations of the Field
Preceptor & EMT-B Field Training Coach
• Feedback continued
– Give feedback often.
– Always strive to provide positive reinforcement
• “Look for the candidates doing something right as
early and as often as possible, then praise them.
Show them how they are improving and how
relevant those improvements are to patient care.”
• “Competence breeds confidence and selfmotivation!”
Taken from EMT Teaching, A Common Sense Approach, R.A. Cherry, 1998
Maryland Institute for Emergency Medical Services Systems
Requirements of Candidates
• Student eligibility for internship
– EMT-B students must:
• Successfully complete up to the Patient Assessment
Module of the 1994 DOT EMT-B Curriculum;
• Have the approval of the course instructor; and
• Have the approval of the EMS operational program
and company where the internship is to occur.
Maryland Institute for Emergency Medical Services Systems
Requirements of Candidates
• Student eligibility for internship
– ALS students must have the approval of the:
• ALS course instructor;
• Training program’s medical director; and
• EMS operational program medical director and/or
his/her designee
Maryland Institute for Emergency Medical Services Systems
Requirements of Candidates
• Provider eligibility for preceptorship
– To be eligible for a preceptorship, the licensed
or certified provider must:
• Receive approval from the local EMS operational
program;
• Receive a protocol orientation or review;
• Possess a valid Maryland license or certificate or
national registration from the NREMT; and
• Meet the requirements of the local EMS operational
program.
Maryland Institute for Emergency Medical Services Systems
Requirements of Candidates
• State Requirements for internship
– The EMT-B student must successfully complete
five pt. assessments comprised of:
• Interviewing and assessing the patients under the
direct supervision and guidance of a preceptor;
• Recording patient history and assessment on a
MAIS or compatible prehospital care report; and
• Receiving a satisfactory evaluation from the
instructor and preceptor.
Maryland Institute for Emergency Medical Services Systems
Requirements for Candidates
• State Requirements for internship continued
– CRT (EMT-I) and EMT-P students must meet
the training program’s minimum number of
assessments, medication administrations, and
skills set forth by the program.
Maryland Institute for Emergency Medical Services Systems
Requirements for Candidates
• Local Requirements for internship
– INSERT LOCAL REQUIREMENTS FOR
MINIMUM SKILLS, MEDS, &
ASSESSMENTS HERE
Maryland Institute for Emergency Medical Services Systems
Documentation
• EMT-B
– The preceptor should complete the front of the
EMT-B Internship Patient Assessment
document and provide comments as necessary.
– The preceptor should also initial the EMT-B
Internship coversheet and write the incident’s
MAIS number to signify successful completion
of a patient assessment.
Maryland Institute for Emergency Medical Services Systems
Documentation
• EMT-B continued
– PASTE LOCAL EMS OPERATIONAL
PROGRAM AND TRAINING AGENCY
REQUIREMENTS HERE
• CRT (EMT-I) and EMT-P
– PASTE LOCAL EMS OPERATIONAL
PROGRAM AND TRAINING AGENCY
REQUIREMENTS HERE
Maryland Institute for Emergency Medical Services Systems
EMT-B Curriculum
• 131-hour EMT-B Curriculum
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1-Preparatory
2-Airway
3-Patient Assessment
4-Medical
5-Trauma
6-Infants & Children
7-Operations
Maryland Institute for Emergency Medical Services Systems
EMT-I Curriculum
• Approximately 300 hour EMT-I Curriculum
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1-Preparatory
2-Airway Management and Ventilation
3-Patient Assessment
4-Trauma
5-Medical
6-Special Considerations
7-Assessment Based Management
Maryland Institute for Emergency Medical Services Systems
EMT-P Curriculum
• Approximately 1000-1200 hour EMT-P
curriculum
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1-Preparatory
2-Airway Management and Ventilation
3-Patient Assessment
4-Trauma
5-Medical
6-Special Considerations
7-Assessment Based Management
8-Operations
Maryland Institute for Emergency Medical Services Systems
Local Operational Policies &
Procedures
• PLACE ANY/ALL POLICIES
PROCEDURES HERE
Maryland Institute for Emergency Medical Services Systems
Permitted Skills and Medications
• Refer to Appendix B of the Maryland
Medical Protocols for EMS Providers.
• Candidates should not exceed the
predefined scope of practice as defined in
the State protocols.
Maryland Institute for Emergency Medical Services Systems
Summary
• Preceptor terminology
• Roles, responsibilities and expectations of the
Field Preceptor;
• Requirements of Candidates;
• Documentation for the Field Preceptor;
• BLS and ALS curricula;
• Local operational policies & procedures;
• Permitted skills and medications
Maryland Institute for Emergency Medical Services Systems