SELF-ASSESSMENT GUIDE

Qualification : EMERGENCY MEDICAL SERVICES NC II

Project Assessment: Provide Pre-hospital Patient Care and Transport

Perform Cardiopulmonary Resuscitation with AED

Operation
Maintain life support equipment and resources
Implement safe access and extrication procedures in an
emergency
Contribute in receiving request for ambulance service
Units of Competency :
Contribute in allocating ambulance service resources
Contribute in coordinating emergency resources
Deliver basic ambulance communication skills
Contribute in on- road operations
Contribute to emergency scene management
Contribute to special event scene management
Contribute to routine scene management
Deliver pre- hospital patient care
Contribute to ambulance operations management
Transport emergency patients
Transport non- emergency patients
Drive ambulance under operational conditions

Instruction:

 Read each of the questions in the left-hand column of the chart.

 Place a check in the appropriate box opposite each question to indicate your answer.

Can I? YES NO

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 Perform Cardiopulmonary Resuscitation with AED
Operation*

Assess the situation

1. Identify and minimize Physical hazards according to safety

requirements and workplace procedures.
2. Assess risks to ambulance care assistants and others and
determine appropriate response to ensure prompt control of
situation.
3. Ascertain and prioritize need for emergency services/medical
assistance and undertakes triage where required.
4. Deploy resources to appropriate locations as required in
accordance with workplace procedure.

Contribute in the management of casualty/ies

1. Seek agreement for management of the casualty’s

injury/illness from person(s) where relevant.
2. Determine and implement welfare procedure according to
casualty/ies needs.
3. Determine and control effects of injury and effective CPR
and AED operation and apply to meet the needs of the
casualty
4. Monitor and respond to in a timely manner to the
casualty/ies level of consciousness, circulation, airway and
breathing in accordance with effective pre-hospital care
5. Correctly operate Automated External Defibrillator (AED)
in accordance with manufacturer’s/supplier’s instructions.
6. Determine and apply recovery position to meet the need of
the patient
7. Finalize management according to casualty/ies needs

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 Manage ambulance and personnel resources

1. Identify and establish as appropriate, available resources

and required communication links with appropriate
personnel, emergency management services and medical
assistance
2. Establish as appropriate , emergency management
service and medical assistance
3. Deploy to appropriate locations in an effective manner
correct amount of resources to ensure timely arrival of
required resources.
4. Document and modify as recommended ,the provision of
resources
5. Coordinate the evacuation of casualties according to
worksite evacuation procedures.
6. Arrange support services for personnel involved in the
incident in accordance with workplace principles and
procedures.

MAINTAIN LIFE SUPPORT EQUIPMENT AND

RESOURCES*

Maintain resources

1. Ensure and secure availability of adequate and

relevant resources in accordance with workplace
procedures.
2. Identify and obtain non-consumables required by
workplace to maintain adequate readiness of
supplies

3. Identify and obtain consumables required by

workplace to maintain adequate readiness of
supplies.
4. Carry out checking of stock and regular inspection
of equipment for condition and currency.
5. Recover, clean equipment and dispose waste safely
according to legislative and site procedures.

6. Maintain resources in operational readiness in

accordance with workplace procedures.
7. Store resources in the correct manner to ensure their
future operation and serviceability

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 Manage records

1. Complete relevant forms as required according to

legislation and site procedures.
2. Store forms in accordance with legislative and site
procedures.
3. Send relevant forms to appropriate bodies and file these
records appropriately and undertake security of such
records according to workplace and legislative
requirements
4. Maintain confidentiality of records and information in
accordance with privacy principles and statutory and/or
organizational policies.

IMPLEMENT SAFE ACCESS AND EXTRICATION

PROCEDURES IN AN EMERGENCY*

Assess emergency situation in relation to safe access

and extrication

1. Obtain Information relevant to the situation on or before

arrival.
2. View to identify and mitigate dangers, situation according
to standard local ambulance procedure.
3. Assess condition of victim/patient.
4. Identify obstacles impacting on safe access and extrication
accurately
5. Formulate access and extrication plan based on an
assessment of all factors associated with the situation or
incident in line with national emergency management
arrangements.
6. Formulate and prioritize access and extrication plan based
on the main concerns of victim/patient welfare and safety
of all personnel.
7. Assess equipment and personnel needs based on
an assessment of all factors associated with the situation
or incident.
8. Assess equipment and personnel needs based on
victim/patient and personnel welfare as the prime concern

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 Implement procedure to enable safe access and
extrication

1. Request additional personnel and equipment or

arrange as the need dictates.
2. Implement access/extrication plan using equipment
and personnel necessary to ensure safe
access/extrication and victim/patient welfare.
3. Negotiate and maintain means of safe access and
extrication according to national OSH standards, as
well as service policies and procedures.
4. Act in accordance with local ambulance standard
operation procedures.
5. Utilize available resources as necessary.
6. Familiarize the use of carry chairs

Monitor access and extrication procedure in an

emergency situation

1. Be of concern primarily on the safety of

victim/patient and personnel.
2. Constantly monitor progress of access/extrication to
ensure welfare of the victim/patient and safety of
personnel.
3. Constantly monitor victim/patient to detect any
change in condition.
4. Constantly monitor all conditions and factors
impacting on safe access/extrication and
victim/patient welfare
5. Modify access/extrication plan as necessary to
ensure safety and the welfare of the victim/patient

CONTRIBUTE IN RECEIVING REQUEST FOR

AMBULANCE SERVICE*

Receive request for service

1. Answer incoming requests for service promptly in

accordance with local ambulance standard operating
procedure.2.
2. Establish details of the situation using effective
communication skills, techniques and resources, in
accordance with local ambulance standard operating
procedure.
3. Accurately record complete details of the request in a
timely and efficient manner and in accordance with local
ambulance standard operating procedure.
4. Deal with the requests in a professional manner at all
times.

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 Respond to request for service

1. Determine urgency of the request using information gained

from the person requesting the service.
2. Provide advice to the person requesting the service
3. Formulate and initiate a suitable response using a
prioritizing tool in accordance with local ambulance
standard operating procedure

Refer request*

1. Identify and act upon any need to refer the request for
service
2. Refer request in line with the situation presented and in
accordance with local ambulance standard operating
procedure.

Finalize request*

1. Terminate calls in accordance with local ambulance

standard operating procedure.
2. Follow-up action taken as necessary and in accordance
with the needs of the situation, and local ambulance
standard operating procedure

CONTRIBUTE IN ALLOCATING AMBULANCE SERVICE

RESOURCES*

Allocate ambulance service resources

1. Prioritize requests for service in accordance with local

ambulance standard operation procedure.
2. Assess available resources in accordance with local
ambulance standard operation procedure.
3. Allocate resources to emergency, non-emergency and
special requests in accordance with local ambulance standard
operation procedure.

Dispatch ambulance service resources

1. Brief assigned personnel to situation in adequate, clear,

timely and accurate way
2. Record communication according to local ambulance
standard operation procedure.
3. Dispatch ambulance resources within timeframes set by
the Ambulance Service and in accordance with local
ambulance standard operation procedure

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 Monitor progress of assigned personnel

1. Confirm assigned personnel’s arrival at the scene of the

incident/situation is according to co-ordination procedures.
2. Assign personnel based on capacity to deal with the
situation/incident at earliest opportunity.
3. Identify need for additional resources and arranges as
needed.
4. Arrange and monitor arrival at receiving facility ..
5. Note personnel and ambulance availability for re-
assignment according to local ambulance standard
operation procedure.
a. Notify peer support/critical incident stress
debriefing (CISD)

b. Team

Maintain records of ambulance service co-ordination

activity

1. Maintain records of ambulance and personnel according to

local ambulance standard operation procedure.
2. Summon and maintain records of supplementary
resources according to local ambulance standard
operation procedure

CONTRIBUTE IN COORDINATING EMERGENCY

RESOURCES*

Coordinate ambulance and personnel resources

1. Undertake resource allocation in accordance with local

ambulance standard operating procedure.
2. Monitor known factors that may impact on service
demand at all times.
3. Know ambulance service resources locations and
commitments at all times.

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 Liaise with ambulance communications personnel

1. Give personnel clear information at all times.

2. Communicate factors affecting resource availability to
personnel.
3. Seek factors affecting resource availability from other
ambulance communications personnel.
4. Document information according to local ambulance
standard operating procedure.
5. Implement “On scene” communication chain of command

Liaise with other related organizations and emergency

services

1. Identify need for involvement of other service in a timely

manner.
2. Determine the service involvement in line with the case
need.
3. Contact , brief , and request appropriate assistance other
service .

DELIVER BASIC AMBULANCE COMMUNICATION SKILLS*

Exercise effective communication techniques

1. Use verbal and non-verbal communication constructively

to achieve planned work outcomes.
2. Reflect an understanding and respect for individual
differences and needs in all forms of communication with
clients and colleagues an.
3. Introduce self appropriately when required.
4. Use interviewing and active listening techniques where
needed to identify and confirm work requirements.
5. Communicate in a clear and relevant to situation, context
and activities
6. Use touch and other non-verbal means of communication
prudently, carefully and only as appropriate.
7. Seek and obtain advice about communication difficulties
with clients or colleagues from supervisor/appropriate
person and implements as required.
8. Seek advice and assistance from legitimate sources as
and when appropriate to maintain and develop effective
communication skills.
9. Adjust own style to incorporate advice that addresses
performance issues to maintain the agreed standard of
effective communication.

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 Convey and receive information using available modes of
communication

1. Use communication codes and equipment correctly.

2. Acknowledge and/or clarify information received using
active listening.

Follow routine instructions

1. Interpret workplace instructions correctly and carry out

within agreed time frames.
2. Seek clarification of work instructions when required to
ensure understanding.
3. Refer difficulties in carrying out instructions to supervisor
or appropriate person to ensure required work outcomes

Communicate with patients

1. Establish rapport through open, sensitive and confident

manner.
2. Inform patient (or agent of patient) about patient care
procedures in a manner, and at a time consistent with the
overall needs of the patient and situation as a whole.
3. Obtain information from patient or others showing the
firmness, sensitivity and respect for confidentiality
demanded by the situation.
4. Recognize and respect religious, social and cultural
differences between individuals that may require special
communication skills or patient care procedures

Complete reports as required

1. Complete reports as required to the standard expected in

the workplace.
2. Complete reports correctly within identified time frames
3. Report clearly and accurately

Present a positive image of the service to the public

1. Communicate with the public in a courteous manner

and respecting privacy.
2. Use standards of personal presentation that are
appropriate to the organization

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 CONTRIBUTE IN ON-ROAD OPERATIONS*

Contribute in relaying communication

1. Manage communication techniques and procedures to

ensure they are consistent with implementing rules and
regulations, laws, ordinances, service policies and
procedures.
2. Manage communication with control centre to ensure that
it is established and maintained.
3. Manage notification of receiving facility to ensure that local
policies and procedures are adhered to.

Oversee ambulance and equipment preparation,

maintenance and cleaning

1. Maintain ambulance and equipment in a clean and

serviceable condition according to legal/industrial
requirements and service policy and procedures.
2. Maintain ambulance operating stock to acceptable
minimum and maximum levels.

Contribute in the transport of patients

1. Manage transportation of patients to ensure they are

transported safely and smoothly to avoid further damage
or injury.
2. Recognize and negotiate hazard safely when driving .
3. Adhere to legal and industrial requirements governing
emergency vehicles .
4. Choose route appropriately according to distance, time
constraints, travel and terrain.
5. Provide safe driving through reading road map accurately
and quickly.
6. Manage communication between driver and patient care
officer to ensure safe transport and effective patient care.

Contribute in scene management

1. Ensure safety of scene in accordance with legal, industrial

and service guidelines.
2. Ensure control of hazards in accordance with
requirements to protect welfare of patients and personnel.
3. Apply resources in accordance with requirements of the
scene, service policies and procedures and relevant legal
and industrial requirements.
4. Ensure communication with allied services contributes to
safety and well-being of patients and ambulance
personnel

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 CONTRIBUTE TO EMERGENCY SCENE MANAGEMENT*

Contribute in identifying real and potential hazards in the

environment

1. Gather information to allow accurate assessment of the

situation or incident.
2. Accurately identify hazards (existing and potential).
3. Accurately access/ approach an incident and , looks for
visible signs of danger.
4. Position appropriate resources to facilitate safe/timely
ambulance access and extrication

Communicate with those involved in the incident

1. Communicate information about the incident or scenario

to coordinator in accordance with service policies.
2. Communicate information to people involved in the
incident in accordance with service policies

Control hazards/ scene safety

1. Mitigate or avoid/negate existing and potential hazards to

the safety and welfare of patients and others.
2. Wear/use personal protective clothing and equipment as
necessary.
3. Implement infection control procedures when necessary.
4. Manage resistive and/or combative patients appropriately.
5. Ensure security of the scene for ambulance personnel by
the ambulance/medical command in consultation with
incident commander.
6. Make available, utilize appropriately, and replenish
resources as needed

Communicate with medical and other emergency and

allied services with EMT’s supervision to ensure safety at
scene

1. Apply the standard operating procedures for

communication and coordination with medical services
and allied services.
2. Communicate necessary information for allied services
thru channels (Chain of Command).

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 Monitor the environment

1. Monitor the environment to identify changes that may

compromise safety or victim/patient care.
2. Recognize environmental changes requiring further
control quickly and communicates to appropriate agencies.

CONTRIBUTE TO SPECIAL EVENT SCENE

MANAGEMENT*

Attend mass gathering events

1. Participate in planning stage of any event and attends in

accordance with mass gathering guidelines stated in
World Health Organization (WHO).
2. Assess scene of event using all available information and
first hand observation.
3. Identify hazards (existing and potential) and the level of
risk accurately utilizing current emergency risk
management process.
4. Develop emergency management plan, or implements
existing emergency management plan in consultation with
event organizers.
5. Develop ambulance Staging and implements ambulance
operations and their role within the emergency
management plan.
6. Deploy ambulance resources in accordance with the
unified management plan.
7. Position ambulance resources to facilitate access and
egress.
8. Establish lines of communication and maintains it in
accordance with the management plan and Service
policies and procedures.

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 Ensure safety at the scene

1. Position ambulance strategically:

a) to ensure safety for vehicle, crew, patient,
equipment,
b) allow accessibility.
2. Identify the Personnel properly and wears personal
protective clothing and equipment as required
3. Ensure security of the scene for Emergency Medical
Services (EMS) with the Medical Commander in
consultation with the event Incident Commander or
Security Commander.
4. Coordinate with allied Services regarding mitigation of
specific hazards to enable patient treatment in hazard-
free environment in line with standard ambulance
staging procedures in accordance with established
standards
5. Act in accordance with current and existing
established standard

CONTRIBUTE TO ROUTINE SCENE MANAGEMENT*

Attend to non-emergency event

1. Position ambulance to facilitate access and departure

while keeping safe all personnel and the vehicle.
2. Identify hazards, real or potential, where there are risks to
participants or bystanders.
3. Identify lines of communication with others and maintains
according to service policy and procedures.
4. Observe correct communication procedures in
accordance with service policy and procedures

Take appropriate measures to ensure safety at the scene

1. Position ambulance to protect self, team and patient(s).

2. Wear personal protective clothing in accordance with
operating procedures.
3. Utilize ambulance resources and improvises to secure the
scene.
4. Undertake appropriate roles as prescribed by Acts,
regulations, service policy and procedure.
5. Minimize risk by enlisting hazard reduction agents to
enable provision of treatment in hazard-free or hazard-
reduced environment.
6. Act is in accordance with current and existing established
standard

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 DELIVER PRE- HOSPITAL PATIENT CARE*

Contribute in making initial patient assessment

1. Conduct pre-planning before arrival at scene based on

information communicated in request for service.
2. Conduct scene survey according to local ambulance
standard operating procedure.
3. Conduct primary survey according to local ambulance
standard operating procedure.
4. Check and monitor vital signs in accordance with local
ambulance standard operating procedure.
5. Obtain history of the event following established
procedures.
6. .Assess transport requirements and appropriate destination
considering patient's condition and the type of resources needed
to ensure that requirements of urgency and patient care are met.

Contribute in implementing patient care procedures as

the situation presents itself

1. Assist the EMTs in patient care procedures which are

commenced as patient’s present condition determines,
with reference to local clinical guidelines.
2. Familiarize self with all the supplies and equipment in the
ambulance.
3. Recognize and seek immediately where the situation or
patient’s condition requires treatment that is outside the
scope or authority to practise of the attending officer, the
need for assistance is.
4. Utilize ambulance equipment in patient management
correctly operated according to manufacturer/supplier’s
instructions and local clinical guidelines.
5. Implement patient care techniques in accordance with
infection control procedures and techniques.
6. Practice safe lifting and patient handling techniques in
accordance with established existing International Labor
Organization and local EMS policies and procedures

Contribute in monitoring basic patient care and modify as

required*

1. Re-assess patient and his/her presenting conditions at

appropriate intervals as required according to local
ambulance standard operating procedure.
2. Assist the EMTs in monitoring pulse Oximeter (SPO2)

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 Endorse patients requiring basic care

1. Document relevant patient details according to local

ambulance standard operating procedure.
2. Maintains patient confidentiality at all times.
3. Convey all necessary information through Documentation
for endorsement procedures
4. Convey in formation appropriately to those individuals
involved in ongoing patient care to facilitate understanding
and optimize continuing patient care.
5. Maintain patient care until responsibility for patient care is
taken over by staff of the receiving agency.

CONTRIBUTE TO AMBULANCE OPERATIONS’

MANAGEMENT*

Maintain operations to meet quality standards

1. Make available supplies (necessary for operations and meet

service requirements (except medicines)).
2. Meet service delivery specifications for operations within the
area of responsibility
3. Give accurate Information and advice to staff, members of the
public and related organizations , in line with service policy and
within the manager's area of responsibility.
4. Communicate operational information to the appropriate people
in a manner, at a level and at a pace to promote understanding.
5. Fully and correctly implement and maintain systems to monitor
quality, time and cost specifications for service provided.

6. Recognise and take appropriate action to Factors which disrupt

operations affecting service delivery to minimise their effects.
7. Complete an accurate record of operations in accordance with
service policies and procedures in relation to ambulance
operation.
8. Make recommendations for improving efficiency of operations
and quality of service which are promptly communicated to the
appropriate people.
9. Operate in accordance with local ambulance standard
operating procedure

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 Create and maintain conditions conducive to productive
work and quality service

1. Apply highest possible level of safety to the work

environment.
2. Establish a sufficient supply of resources and maintain to
meet community needs.
3. Satisfy staff working conditions and use of resources
based current legislation and service.
4. Conform to maintenance frequency guidelines and the use
of equipment service standards, schedules and
procedures.
5. Refer to the appropriate person/s matter where resources
do not meet requirements
6. Report promptly Workplace accidents and incidents to the
appropriate person/s and records as required.
7. Refer promptly to the appropriate person/s
recommendations for improving conditions
8. Complete all necessary records accurately and legibly
and makes available to authorized person/s when
required.
9. Review Records to ensure completeness and accuracy, in
accordance with service policy

Monitor and control the use of resources

1. Conform to service procedures , expenditure is within

agreed budgets and do not compromise future spending
requirements .
2. Communicate effectively the contribution each team
member can make to control of resources.
3. Make complete, accurate and legible records of
expenditure
4. Take prompt corrective action in response to actual or
potential significant deviations from plans.
5. Promptly refer to the appropriate person requests for
expenditure outside the person in charge/superior’s area
of responsibility

TRANSPORT EMERGENCY PATIENTS*

Convey and receive information relating to emergency

transport

1. Establish and maintain communication with control center

and according to local ambulance standard operation
procedure.
2. Notify appropriate receiving facility according to local
ambulance standard operation procedure.

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 Transport patient under emergency conditions

1. Drive Ambulance in a manner that avoids exacerbation of

patient's condition.
2. Recognize and negotiate Hazards at low risk.
3. Drive Vehicle according to legal requirements governing
emergency vehicles.
4. Choose appropriate route according to distance, time,
travel and terrain.
5. Establish and maintain c ommunication as required
between driver and patient care officer to ensure safe
transport and effective patient care.

Load, unload and secure patient and equipment for

emergency transportation

1. Conduct loading/unloading smoothly, consistent with safe

work practices, and local ambulance standard operating
procedure.
2. Do not exacerbate patient's illness/injury by unnecessary
movement during loading and unloading.
3. Remove patients from scene in a manner consistent with
relevant Acts, Regulations and in accordance with local
ambulance standard operating procedure.
4. Secure equipment in accordance with relevant Philippine
Standards, Acts, and regulations and in accordance with
local ambulance standard operating procedure

TRANSPORT NON-EMERGENCY PATIENTS*

Prepare and check vehicle and equipment

1. Check Ambulance and equipment systematically and

comprehensively based on a local vehicle checklist.
2. Conduct Ambulance checks on a regular basis according
to Service procedures to ensure serviceability of
ambulance and equipment.
3. Check Ambulance to ensure interior and exterior
cleanliness of ambulance in accordance with service
policies and procedures pertaining to the minimization of
infection risk to both ambulance personnel and
patients/clients.
4. Maintain Ambulance operating stock to acceptable
minimum and maximum levels.
5. Maintain Ambulance and equipment according to local
policy and procedures

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 Ensure faults in ambulance and equipment are remedied

1. Identify General nature of fault and reports according

to local policy and procedure.
2. Assess further damage to malfunctioning ambulance
or equipment against patient care priorities and
avoided when possible.
3. Rectify Minor faults where possible.
4. Establish and communicate to appropriate personnel
need for additional or replacement resources

Convey and receive information through use of necessary

modes of communication

1. Use communication techniques and procedures that are

consistent with acts, regulations and in accordance with
local standard operating procedure.
2. Establish and maintain communication with control
center in accordance with local standard operating
procedure.
3. Notify appropriate receiving facility in accordance with
local standard operating procedure.

Load, unload and secure non-emergency patient and

other specific personnel for transportation

1. Conduct loading/unloading smoothly, consistent with safe

work practices, Service policy and procedures in
accordance with the national code.
2. Give patient appropriate support/assistance during
loading/unloading.
3. Transport appropriate personnel to accompany the
patient where such a need has been identified and there is
a capacity to do so, in accordance with local standard
operating procedure.
4. Secure equipment and belongings appropriately to avoid
movement during travel.
5. Be familiar with the use of carry chairs

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 Drive ambulance

1. Drive Ambulance in a reduced - risk manner and

according to legal requirements.
2. Choose appropriate route according to distance, time
constraints, travel and terrain.
3. Establish communication between driver and patient
or patient care officer to ensure effective patient care
during transport.
4. Consult the Map accurately, when necessary.

Transport patient's relatives or other specific personnel

1. Transport personnel to accompany the patient where

such a need has been identified and there is a capacity to
do so, in accordance with local standard operating
procedure.
2. Consider safety of the personnel, the patient and the
patient’s relatives in the ambulance during transport.

DRIVE AMBULANCE UNDER OPERATIONAL

CONDITIONS*

Prepare ambulance for operational response

1. Select the ambulance to meet operational requirements

and is suitable to use in the terrain.
2. Complete preliminary check of the vehicle to ensure it is
serviceable.
3. Assist in checking the equipment and accessories to
ensure they are available and serviceable.
4. Complete cabin drill and start-up checks in accordance
with operational standards.
5. Start engine in accordance with manufacturer’s
specifications.
6. Include and check audible and visual warning systems,
instruments and gauges to ensure that they are all
operational

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 Drive the ambulance

1. Prepare for, and safely operate Ambulance in terrain

suitable to the vehicle.
2. Operate and position Ambulance and/or trailers in
accordance with traffic regulations in accordance with local
ambulance standard operation procedure to ensure safe
and efficient operation.
3. Use reduced- risk driving techniques which minimize the
likelihood of injury to persons or damage to equipment or
property and in accordance with local ambulance standard
operation procedure

Monitor traffic, road and terrain under operational

conditions

1. Control ambulance movement in response to external

conditions to ensure safety of persons.
2. Take the most efficient route of travel through monitoring
factors likely to cause delays or route deviations.
3. Monitor and act upon Traffic and surface conditions
consistently to enable safe operation and ensure no injury
to people or damage to property, equipment, loads and
facilities.

I agree to undertake assessment in the knowledge that information gathered

will only be used for professional development purposes and can only be
accessed by concerned assessment personnel and my manager/supervisor.

Candidate’s Signature: Date:

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