›Paramedic Entry to Practice Programme – Intern Operational Competencies

Programme Philosophy

The Paramedic Entry to Practice Programme is underpinned by the work of Patricia Benner (1984). Benner developed the nursing theory entitled ‘from novice to expert’. The model proposed by Benner describes five different models of practice and skill acquisition; novice, advanced beginner, competent, proficient and expert. Benner’s model suggests that progression through the levels of skills acquisition is marked by changes in four key aspects of skill performance:

• Movement from reliance on abstract principles and rules to use past,

concrete experience

• Shift from reliance on analytical thinking to intuition

• The ability to extract salient points from situations (rather than seeing

all information as equally important)

• The passage from detached observer to engaged leader in clinical

situations

Benners’ model allows for clinicians to be experts in one practice realm (e.g. ALS Paramedics working on a conventional ambulance) and novices in another context (e.g. ALS Paramedics working in ECP roles).

Paramedic Entry to Practice Programme: Operational Competencies

Stage 1: 0-6 months Benners Stage: Novice Goal Authority to Practice: BLS FR - BLS Milestone Date Preceptor Sign

Off Joins operational roster Complete P1 driving competency within 1month of joining roster

Obtain BLS ATP within 2 months of joining operational roster Individual Learning Plan 1 completed, signed and submitted to CET Complete BLS moodle modules Complete Helicopter safety package (Moodle or Lifeflight visit)

Complete Moodle MDT package Monthly Clinical Educator Review (on road and interview) Monthly Clinical Educator Review (on road and interview) Monthly Clinical Educator Review (on road and interview) Monthly Clinical Educator Review (on road and interview) Monthly Clinical Educator Review (on road and interview)

Monthly Clinical Educator Review (on road and interview) Study day 1 attended End of Placement Review completed with Preceptor and forwarded to TMO

Stage 1 Operational competencies completed and signed off by Preceptor Complete station familiarisation Complete hospital familiarisation (Hutt, Wellington Regional, Kenepuru) Complete monthly Moodle CE articles Complete monthly Moodle 12 Lead ECG

›Stage 2: 6-12 months

Stage 2: 6-12 months Benners Stage: Advanced Beginner Goal Authority to Practice: BLS Milestone Date Preceptor Sign

Off Individual Learning Plan 2 completed, signed and submitted to CET Complete ILS moodle modules Monthly Clinical Educator Review (on road and interview) Monthly Clinical Educator Review (on road and interview) Monthly Clinical Educator Review (on road and interview)

Monthly Clinical Educator Review (on road and interview) Monthly Clinical Educator Review (on road and interview) Monthly Clinical Educator Review (on road and interview) Study day 2 attended

Complete monthly Moodle CE articles (X 6) Complete monthly Moodle 12 Lead ECG (X 6) End of Placement Review completed with Preceptor and forwarded to TMO

Stage 2 Operational competencies completed and signed off by Preceptor

›Stage 3-4: 12-24 months Benners Stage: competent – proficient to proficient Goal ATP: BLS – ILS recognition of current competency NB: At Stage 3 of the PETP Clinical educator review and input can be scheduled bimonthly (with agreement of intern and Preceptor) Milestone Date Preceptor Sign

Off Individual Learning Plans 3 and 4 completed, signed and submitted to CET (at 12 and 18 months) Complete Preceptor Package moodle modules Monthly Clinical Educator Review (on road and interview) Monthly Clinical Educator Review (on road and interview) Monthly Clinical Educator Review (on road and interview)

Monthly Clinical Educator Review (on road and interview) Monthly Clinical Educator Review (on road and interview) Monthly Clinical Educator Review (on road and interview) Complete monthly Moodle CE articles (x 6)

Complete monthly Moodle 12 Lead ECG (x 6) End of Placement Review completed with Preceptor and forwarded to TMO Attend elective placement (flight, urgent community care, TMO) subject to operational requirements

Attend end of programme interview with SDD Manager and CET Manager Stage 3 and 4 Operational competencies completed and signed off by Preceptor