Refresher Quality Assessment Form: Cycle C 2013
Name of IOR or assigned IT: ______
Patrol/Organization: ______
Refresher Location: ______Date: ______NSP Division: ______
Check type of event: □ OEC IT Refresher □ OEC Instructor's Refresher
□ OEC Technician Refresher □ Refresher Planning Meeting
This form is designed to provide quality assurance feedback and help the assigned IT or ROA in supervising and advising refresher staff. Using the following key, please indicate how the refresher topics were presented. (The Refresher Station Planning Matrix may be attached instead of filling out this section.)
Station format:
GP= Group presentation/activity HSO = Hands-on practical skill(s)
Demo = Demonstration by instructor FD= Facilitated small group discussion
INC= Incorporated into stations throughout the refresher O = Other (explain)
Refresher Topics
______BSI, MOI, scene safety______Incident command/triage
______Endocrine system
______Lymphatic system
______Reproductive system
______Patient Assessment – Trauma
______Airway Management/O2 setup
______Substance abuse and poisoning
______Principles of Trauma / ______Injuries to the knee, tib/fib, ankle, foot, and toe
______Face, eye, and neck injuries
______Thoracic trauma
______Pediatric emergencies
______Behavioral emergencies and crisis response
______Obstetric and gynecologic emergencies
______Special operations andambulance operations
The OEC refresher is meant to be a standalone event. Wereany of the following included as part of the OEC refresher?
______CPR
______Chairlift evacuation
______Patrol administrative business
______Management concerns or training
______Other (please describe)
The following questions are for use by the assigned IT to evaluate the refresher. Please answer all applicable questions. (Attach any additional pages used for your answers and comments.)
1. What type of planning meeting was held in preparation for this event? Did you attend? (online or in-person?)
2. Was an instructor refresher held in preparation for this refresher? Did you attend and/or monitor it?
3. How was this refresher developed?
______From the "ground up" using the Refresher Station Planning Matrix.
______By using the entire Sample Refresher, or variousparts of it.
______Combination of the above.
______From scratch, without using any of the refresher planning tools.
4. Did participants seem to understand the refresher objectives?
5. Were all objectives met? If not, please explain.
6. Were any shortcomings discovered at the refresher?
_____ Missed topics? _____ Shortage of instructors? _____ Equipment failure? Other?
If so, what action was taken to remedy them?
7. How would you assess the quality and content of the mini-presentations or stations? Were any of them exceptionally good? (Please describe.)Did each presenter involve the entire group in the presentation, as opposed to just talking at them? If not, please specify?
8. How was the "Case Presentations" exercise presented?Was it a useful exercise?
9. What visual aids were used in the refresher presentations and stations?
______Material available from the NSP "Instructor Resources."
______Slides/PowerPointpresentations.
______Posters and charts.
______3-D models.
______Other (describe).
Were they effective? Other comments?
10. Were the relevant Skill Guides and/or criticalperformance indicators posted at all stations? If not, why?
11. Do you feel that there was adequate opportunity for every OEC technician to demonstrate hands-on skills according to each of this year's required skill guides?
Comments?
12. How would you rate the quality and availability of equipment and the refresher facility in general?
13. How would you describe the organization of the refresher? Was it well organized?
14. What recommendations would you make to improve this refresher?
15. What improvements could be made to your new Refresher Workbook to make it more helpful in planning and evaluating refresher courses?
16. What improvements could be made to the new Refresher Workbook to make it more helpful for the OEC technician to prepare for the annual refresher course?
You are now asked to forward this completed form and related refresher documents to the appropriate OEC personnel, as listed below:
ATTACH A COPY OF THE SCHEDULE FOR THE REFRESHER YOU ARE REFERRING TO WITH THIS QA FORM. A COPY OF THE SCHEDULE MUST BE SUBMITTED TO THE NATIONAL OFFICE VIA THE EMAIL LISTED BELOW
____ Copy of QA form sent to patrol representative/IOR
____ Copy sent to ROA
____ Copy sent to division OEC supervisor
____ Copy sent to national office (Send to.)