SCFMD EMS Evaluation

Name*

Employee Number*

Email*

CEP or EMT*

Date of First Review

Employee Rating

EMS Personnel Evaluations will be completed by the EMS personnel in July of each year using the Scoring Matrix. The evaluation will be returned to the EMS Personnel’s Officer (Capt.). The Officer and the EMS Personnel will meet to review and discuss the scoring of each question. After reviewing the completed form, the EMS Personnel, with the Officers assistance, will establish goals for the rest of the year and document them in the appropriate location. Both parties will sign the form in the July section (checkbox). The Officer will retain the original and the EMS Personnel will be provided a copy to refer to over the next nine months.

Knowledge of Job Functions, SOGs, Procedures, Policies and Facilities

The employee’s knowledge and application of that knowledge as they perform their assigned duties and responsibilities both in the station and at emergency scenes.

Operates safely and within SOGs

Employee consistently performs job functions safely and in accordance with the department’s medical protocols, standard operating guidelines, rules, and regulations.

Leadership and Teamwork

Employee consistently demonstrates leadership skills and performs their role in a constructive and professional manner and displays a commitment to the team concept.

Work Ethic

Employee consistently completes daily duties, apparatus check, reports, training, PCR and EMS functions thoroughly and completely.

Attitude and Professional Communications skills

Employee Consistently displays pride in the department and a positive attitude towards their work, colleagues, supervisors, and the public they serve. Employee maintains open communications and effectively works through conflicts.

Preparedness for duty

Employee arrives at work in appropriate uniform, which is neat and clean. Employee’s gear is out and prepared at the beginning of the shift.

Commitment to professional development

Employee consistently strives to improve skills and knowledge through continual education and training above and beyond the department required minimum standards. Employee maintains licenses and certifications.

Self-motivation

Employee is self-motivated and self-directed. Employee consistently looks for productive things to do without supervision.

Customer Service

Employee clearly understands and consistently delivers outstanding customer service to the public we serve.

Organizational Commitment

Consistently delivers quality internal customer service to the employees and members, while actively participating and supporting the District.

Comments (July)

Goals (July)

EMS: Consent (E-Signature)*

I agree that the check of this box represents my signature.

The parties acknowledge and agree that this evaluation may be executed by checkbox consent, which shall be considered as an original signature for all purposes and shall have the same force and effect as an original signature.

Date*

Supervisor's Name*

Officer: Consent (E-Signature)*

I have reviewed the evaluation and agree that the check of this box represents my signature.

The parties acknowledge and agree that this evaluation may be executed by checkbox consent, which shall be considered as an original signature for all purposes and shall have the same force and effect as an original signature.

Date*

Employee Rating

TEL: (623) 974-2321