EMT Policy and Procedure

EMT LEAD INSTRUCTOR MONITORING FORM

EMT Lead Instructor Name: Location:

Date:

Module Number:

Skill:

EMT COURSE SPECIFICS

RECORDS MANAGEMENT

SESSION MANAGEMENT

STUDENT MANAGEMENT

□ Records secured according to policy □ Previous instructor rosters filed appropriately □ Previous student rosters filed appropriately Student skills sheets: □ Correct number of skills sheets □ Accurately completed/signed Student written exams: □ Correct number for exams □ Accurately graded Prerequisites: □ CPR card copy present □ Date of Birth documented PULL 5 RANDOM FOLDERS

□ Has instructor guidance selected for that activity out for staff

□ Enforces policy on mobile devices □ Enforces dress policy (check this box if no dress policy violations occurred during audit) □ Maintains respectful tone with students □ Has students check equipment in Cohort Bag upon arriving to class □ Deploys Cohort Banners to group students into skills groups

□ Puts out student sign-in sheets before class start □ Puts out instructor sign-in sheets before class start □ Assigns stations to instructors □ Requested supplies needed before current session (check this box if no supplies were needed) □ Controls skills rotations on schedule □ Announces breaks on schedule □ Begins content delivery within 5 minutes of start time □ Ends session within 5 minutes of end time

TOTAL ALL POINTS ABOVE □ Successful monitoring (7+ pts) □ Unsuccessful monitoring(<7 pts)

TOTAL ALL POINTS ABOVE □ Successful monitoring (7+ pts) □ Unsuccessful monitoring (<7 pts)

TOTAL ALL POINTS ABOVE □ Successful monitoring (4+ pts) □ Unsuccessful monitoring(<4pts)

Notes:

Monitoring Instructor:

Monitored Instructor

30 | P a g e

Signature:

Signature