1. The Greater Miami Valley EMS Council
Skills Evaluator 2018
Welcome participants to the Skills Evaluator Update. Remember to thank them for dedicating their time to EMS Education.

2. Our Agenda Protocol Changes Role/Responsibilities of Skills Evaluator
How to manage required Skills Stations
How to manage optional Skills Stations
How to manage Mega-Codes
Standing Orders Skills Check-offs
Standing Orders CBT
The purpose of this update is to ensure that Skills Evaluators are aware of their responsibilities; changes in Region 3 Standing Orders; and know how to facilitate annual skills evaluations and Mega-Codes. During this session, participants will also be evaluated including Skills, Special Vascular Access, Mega-Codes, and Written exam. Participants must score ≥84% in order to become Skills Evaluators.

3. Objectives
At the end of the Skills Evaluator Update, participants should be able to:
Identify the changes in GMVEMSC Standing Orders for 2018
Understand the role/responsibilities of the Skills Evaluator
Describe the process for setting up and administering required and optional Skills and Mega-Code stations
Successfully complete annual Skills Competencies
Successfully complete 2018 CBT with a score of ≥84%
Review the objectives in order to remain compliant and receive EMS continuing ed hours.

4. Standing Orders Update
Areas of Concentration for 2018
The Protocols
2018 Changes
Remember-Optional Areas are NOT tested by GMVEMSC

5. Standing Orders Update
Changes
Implementation Guide
Optional Skills Guide

6. Skills Evaluator Role: Responsibilities:
facilitate the set up and execution of annual competency evaluations for EMS Providers
Responsibilities:
Educate and evaluate EMS Providers knowledge, skills, and ability to perform essential patient-care skills
Facilitate the administration of Annual Skills Evaluation
Coordinate the administration of Mega-Code scenarios
Work with Department Training Officer to assure accurate and complete documentation of 2018 competency evaluations
Review the role of the Skills Evaluator; emphasize the importance of efficient planning and coordination. Review the responsibilities of the Skills Evaluator; emphasize the importance of each, including the need to be fair and consistent.

7. Skills Stations Purpose Administrative considerations Equipment needs
Physical needs
This section includes reviewing the purpose, administrative considerations, equipment needs, and physical needs.

8. Skills Stations GMVEMSC approved Skills Evaluator EMS-Instructor
Purpose - review and evaluation of ability to perform essential EMS skills appropriate to their level of practice
Administrative
Who can administer?:
GMVEMSC approved Skills Evaluator
EMS-Instructor
What to administer?
Based on level of certification
Paperwork
Skills sheets
Optional skills
Testing Summary
The purpose of skills stations is to review and evaluate the ability of EMS Providers to perform essential skills appropriate to their level of certification. Administratively, only GMVEMSC approved Skills Evaluators may serve as evaluators for skills updates. EMS-Instructors must have successfully passed their Standing Orders exam with a score of 84 or better, submitted a copy of their credentials to GMVEMSC, and attend Skills Evaluator session. All Evaluators must complete documentation including skills sheets, optional skills, and the testing summary (Mega-Code summary)

9. Skills Stations Equipment needs Physical needs Needs list available
Be able to accommodate multiple stations
Be able to accommodate multiple participants
Quiet area-no interruptions
Equipment lists are available that outline the items needed to run the skills sessions. Remind participants that they need adequate space to assure that they can run multiple stations with multiple participants simultaneously. The area should be quiet, allowing for minimal distractions so participants can concentrate on learning and be fairly evaluated without distraction.

10. Skills-failure Failure of 1st attempt Failure of 2nd attempt
Identify area(s) of weakness
Provide remediation and supervised practice
Schedule and conduct re-testing
Complete appropriate documentation
Failure of 2nd attempt
Develop remediation plan, including supervised practice – requires notification and approval of Medical Director
Secure authorization for 3rd attempt
When an EMS Provider fails any component of their skills-testing, the Evaluator must identify area(s) of weakness, provide remediation (including supervised practice), schedule and conduct re-testing, and complete all appropriate documentation. Following a 2nd failure, the Evaluator must identify area(s) of weakness, develop a remediation plan (including supervised practice), secure authorization for a 3rd attempt (from Department Chief and Medical Director), schedule and conduct re-testing, and complete all appropriate documentation. Remember that GMVEMSC recommends a two-week delay following the second failure prior to the third attempt. When conducting a third attempt, consider having a second proctor present and video-taping the session to improve documentation.

11. Managing Mega-Codes Purpose Administrative considerations
Equipment needs
Physical needs
This section includes reviewing the purpose, administrative considerations, equipment needs, and physical needs related to Mega-Codes.

12. Mega-Codes Purpose Administrative Scenarios Testing Summary
Review and evaluation of ability to deliver critical care and perform critical thinking during a resuscitation
Administrative
Who can administer?: Department Medical Director or their designee (must be Skills Evaluator, encouraged to be ACLS Instructor)
Paperwork
Scenarios
Testing Summary
The purpose of Mega-Code stations is to review and evaluate the ability of EMS Providers to perform critical care during a resuscitation. This station now includes a verbal medication-administration component. Only the Department Medical Director or their designee (who must be a Skills Evaluator, encouraged to be ACLS Instructor as well) can administer this station. Essential paperwork for Mega-Codes includes the scenarios, medication sheets, and testing summaries for each level of provider.

13. Mega-Codes Equipment needs Physical needs Lists available
Be able to accommodate at least two scenarios (Adult & Pediatric)
Quiet area (for both)-no interruptions
Equipment lists are available outlining the items needed for Mega-Codes. Remind participants that they need to be able to accommodate at least two scenarios. The area must be quiet, allowing for minimal distractions so participants can be fairly evaluated without distraction.

14. Summary
Purpose of annual competencies: assure knowledge, skills, and abilities of EMS provider are aligned with expectations of Regional Standing Orders, Medical Directors, and our Patients.
Be Fair, Be consistent – Regionally
Best Patient Care
The goal of this session has been to assure that regionally, we are evaluating the knowledge, skills, and abilities of EMS Providers to deliver pre-hospital patient care. Your role is to administer this evaluation fairly and consistently. Our role in administering this is, as always, to ensure that best patient care is delivered in our Regional EMS System.