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Emergency Medical Technician

Continuous Professional Competence


Portfolio

Name: __________________________________

Practitioner PIN number: ____________

CPC Cycle: 2016 / 2017

PHECC Sample EMT CPC Portfolio 2016


Declaration by Practitioner of their Commitment to Continuing
Professional Development

I hereby declare that I am committed to maintaining my professional competence


by continually updating and developing my professional knowledge, skills and
attitudes. I intend to achieve this by actively participating in a Continuing
Professional Competence Scheme, as outlined by the Pre-Hospital Emergency Care
Council of Ireland.

Signed:

Dated:

PIN Number:

PHECC Sample EMT CPC Portfolio 2016


Section 1 Practice Statement

1.1 Practice Statement This clarifies the environment in which you


practice. It lists;

The main service provider with whom you practice

The location where you practice

The capacity with which you practice (paid or voluntary)

NOTE: If you practice with a second or subsequent CPG organisation


then you should also list them in this section.

1.2 A statement of context - This is an introductory statement explaining


the context in which you collect evidence and record experience as a
practicing EMT. You must include this statement of context as the first
part of your learning portfolio.

PHECC Sample EMT CPC Portfolio 2016


1.1 - Practice Statement

Main CPG Organisation you are practicing with


Service Provider

Location of Practice

Capacity
(Paid or voluntary)

Second CPG Organisation you are practicing with, if applicable


Service Provider

Location of Practice

Capacity
(Paid or voluntary)

Third CPG Organisation you are practicing with, if applicable


Service Provider

Location of Practice

Capacity
(Paid or voluntary)

PHECC Sample EMT CPC Portfolio 2016


1.2 - Statement of context

PHECC Sample EMT CPC Portfolio 2016


Section 2 Basic Requirements

2.1 Evidence of at least 12 patient contacts per year A patient contact


shall be accepted where an EMT has completed a meaningful
intervention during that patients care. Patient contacts should be
recorded utilising ACR/PCR/Incident numbers and a brief description
of the patients condition along with the treatment provided should be
included for each contact.

2.2 Evidence of your current CPG status Evidence of CPG status will be
provided by including a CPG upskilling certificate issued by an RI.
Where an EMT has attained their NQEMT on the newest CPGs, a copy of
the NQEMT will suffice.

2.3 Evidence of your Cardiac First Response status - Cardiac First


Response Advanced certification is required to be current and in date
for an EMT to practice. As such all EMTs are required to be certified
every two years. This certification should be included in your CPC
portfolio.

While CFR certification is valid for two years, we require you to


complete a CFR refresher once 12 months have elapsed from the time
you were certified. This refresher must be recorded and proof should
be provided by the CFR A instructor which should include the EMTs
name, PIN number and the date it was completed.

PHECC Sample EMT CPC Portfolio 2016


2.1 - Patient Contacts

Quick reference (tick when complete)

Patient 1 Patient 7

Patient 2 Patient 8

Patient 3 Patient 9

Patient 4 Patient 10

Patient 5 Patient 11

Patient 6 Patient 12

PHECC Sample EMT CPC Portfolio 2016


Patient 1

Date

ACR / PCR/
Incident
number

CPG
organisatio
n
Injury
presented

Treatment

Patient 2

Date

ACR / PCR/
Incident
number

CPG
organisatio
n

Injury
presented

Treatment

PHECC Sample EMT CPC Portfolio 2016


Patient 3

Date

ACR / PCR/
Incident
number

CPG
organisatio
n
Injury
presented

Treatment

Patient 4

Date

ACR / PCR/
Incident
number

CPG
organisatio
n
Injury
presented

Treatment

PHECC Sample EMT CPC Portfolio 2016


PHECC Sample EMT CPC Portfolio 2016
Patient 5

Date

ACR / PCR/
Incident
number

CPG
organisatio
n
Injury
presented

Treatment

Patient 6

Date

ACR / PCR/
Incident
number

CPG
organisatio
n
Injury
presented

Treatment

PHECC Sample EMT CPC Portfolio 2016


PHECC Sample EMT CPC Portfolio 2016
Patient 7

Date

ACR / PCR/
Incident
number

CPG
organisatio
n
Injury
presented

Treatment

Patient 8

Date

ACR / PCR/
Incident
number

CPG
organisatio
n
Injury
presented

Treatment

PHECC Sample EMT CPC Portfolio 2016


PHECC Sample EMT CPC Portfolio 2016
Patient 9

Date

ACR / PCR/
Incident
number

CPG
organisatio
n
Injury
presented

Treatment

Patient 10

Date

ACR / PCR/
Incident
number

CPG
organisatio
n
Injury
presented

Treatment

PHECC Sample EMT CPC Portfolio 2016


PHECC Sample EMT CPC Portfolio 2016
Patient 11

Date

ACR / PCR/
Incident
number

CPG
organisatio
n
Injury
presented

Treatment

Patient 12

Date

ACR / PCR/
Incident
number

CPG
organisatio
n
Injury
presented

Treatment

PHECC Sample EMT CPC Portfolio 2016


2.2 - Current CPG status

(Please provide CPG upskilling certificate in the next page or as an


attachment.

If newly qualified in present CPGs please provide copy of NQEMT)

PHECC Sample EMT CPC Portfolio 2016


2.3 - Cardiac First Response
Advanced

(Please provide a copy of your CFR-Advanced certificate in the next page.

If 12 months has elapsed in your CFR- Advanced certificate, please provide

evidence of a CFR- Advanced refresher )

PHECC Sample EMT CPC Portfolio 2016


Section 3 Additional requirements

Requirements CPC points Extra information

Mentoring a student or being mentored while


operating or on duty on any
Mentor - Mentee experiential/operational ambulance, response
and/or 4 vehicle placement or voluntary duty (CPG
Lecturer - tutor - instructor provider)
Lecturing Tutoring Instructing on a topic
relevant to EMT practice

A document containing key learning points


Reflective practice (2 CPC points per documented evidence)
and/or 4 and/or a
Case studies Case study on an incident, condition or
injury you have encountered
(2 CPC points per case study)

Self-selected options from:


Courses seminars - 8 Must demonstrate a direct relevance to the EMT
related activities standards and/or practice
(See Page 10 for examples)

Total Minimum CPC points 16 CPC points required per year

PHECC Sample EMT CPC Portfolio 2016


Mentor / Mentee

and / or

Lecturer Tutor Instructor

(Minimum of 4 CPC points are required within this requirement on a 1

point per hour basis. Any combination of the above will be accepted i.e.

you could mentor for one hour, mentee for one hour, Tutor on an EMT

course for one hour if you are a qualified Tutor and instruct for one hour to

make up 4 CPC points. For full details please refer to the green book

You may complete or delete as appropriate from the following pages)

PHECC Sample EMT CPC Portfolio 2016


Mentoring

Who did you mentor? (Name and PIN where applicable)

Where and what date did you provide mentoring?

How did you mentor this person? (Describe activities)

What did you learn from the student?

What changes has mentoring made to you? (In the areas of skill, knowledge and
experience)

From this experience, will you change your mentoring process in anyway?

PHECC Sample EMT CPC Portfolio 2016


Mentoring
(to be used where a second person is mentored remove if not applicable)

Who did you mentor? (Name and PIN where applicable)

Where and what date did you provide mentoring?

How did you mentor this person? (Describe activities)

What did you learn from the student?

What changes has mentoring made to you? (in the areas of skill, knowledge and experience)

From this experience, will you change your mentoring process in anyway?

PHECC Sample EMT CPC Portfolio 2016


Mentee

Who acted as a Mentor to you? (Name and PIN where applicable)

Where and what date were your mentored?

On reflecting on your experience, what did you learn from your mentor?

What modifications will you make to your practice arising from this
experience?

Please provide a signed document from the Mentor outlining the date
mentoring took place

PHECC Sample EMT CPC Portfolio 2016


Mentee
(to be used where you are act as mentee twice remove if not applicable)

Who acted as a Mentor to you? (Name and PIN where applicable)

Where and what date were your mentored?

On reflecting on your experience, what did you learn from your mentor?

What modifications will you make to your practice arising from this
experience?

Please provide a signed document from the Mentor outlining the date
mentoring took place

PHECC Sample EMT CPC Portfolio 2016


Mentoring / Mentee Document

Mentor Name: _____________________________________

Mentee Name: _____________________________________

Date: ________________________________________________

Number of Hours: ________________________________

Location: __________________________________________

Type of mentoring taking place: ___________________________________________________

Signed by Mentor: _____________________________ PIN: _______________________

Signed by Mentee: _____________________________ PIN: _______________________

PHECC Sample EMT CPC Portfolio 2016


Lecturer Tutor Instructor

Who did you Lecture Tutor Instruct?

Where and what date did you provide this?

What Topic did you deliver?

List some teaching goals of this session -

Are there any learning outcomes arising from this?

Please attach Instructor certificate where applicable and any further


documentation to support your instruction.

PHECC Sample EMT CPC Portfolio 2016


Reflective practice

and / or

Case studies

(Minimum of 4 CPC points are required within this requirement and can be

attained in any combination you wish. Each reflective practice document

and each case study is awarded 2 CPC points.

You may complete or delete as appropriate from the following pages)

NOTE There are several models of reflective practice and all will be
accepted for the purposes of CPC. In this case, we have illustrated the Gibbs
cycle, which has kindly been provided by www.prehospitalresearch.eu

PHECC Sample EMT CPC Portfolio 2016


Reflective Practice 1

Description

Feelings at the time

Evaluation

Analysis

Conclusion

Action Plan

EMTs should not be limited to one page here. Please use as much as
necessary to complete the reflection.

PHECC Sample EMT CPC Portfolio 2016


Reflective Practice 2

Description -

Feelings at the time -

Evaluation -

Analysis -

Conclusion -

Action Plan -

EMTs should not be limited to one page here. Please use as much as
necessary to complete the reflection.

PHECC Sample EMT CPC Portfolio 2016


Case study 1

Introduction

Case details

Working diagnosis

Pre Hospital Management

(continued overleaf)

PHECC Sample EMT CPC Portfolio 2016


Key learning outcomes

References

As with reflection, EMTs should not be limited to one page here. Please use
as much as necessary to complete the reflection.

PHECC Sample EMT CPC Portfolio 2016


Case study 2

Introduction -

Case details -

Working diagnosis -

Pre Hospital Management -

(continued overleaf)

PHECC Sample EMT CPC Portfolio 2016


Key learning outcomes -

References -

As with reflection, EMTs should not be limited to one page here. Please use
as much as necessary to complete the reflection.

PHECC Sample EMT CPC Portfolio 2016


Self Selected Items

(8 CPC points must be attained by the EMT in this section and can be a

mixture of the activities listed in the guidance document. If you have

attended a certificated programme, seminar, conference or eLearning

activity, ideally the EMT should complete the following document.

Delete options as appropriate )

PHECC Sample EMT CPC Portfolio 2016


Self - selected options

Please indicate how you attained your points

Number
Activity CPC points attained by
EMT
CPC related training programme provided 1 point for each hour
by training organisations or programmes
accredited by other professional
organisations (for example, An Bord
Altranais, Irish College of General
Practitioners (ICGP) and so on)
Case study 2 points

Reflection on the incident 2 points

Seminars and conferences 1 point for each hour

Programmes such as 1 point for each hour


ACLS, PALS, PHTLS, PEPP, ATC, MIMMs,
ITLS, Wilderness-EMT, ATLS, AMLS and so
on
Journal article review 2 points
Electronic learning/on-line learning 1 point for each hour
related to practice

Mentoring a student or being mentored 1 point for each hour


(as per previously listed criteria)

Other (please specify) 1 point for each hour

Total Self selected


points for this cycle

PHECC Sample EMT CPC Portfolio 2016


Self-selected option - 1

Details of the programme attended or completed

What topics were covered?

What were YOUR key learning outcomes?

Will this programme change you practice in the future? (If Yes, how will it change)

Please include any certificates relevant for this option

PHECC Sample EMT CPC Portfolio 2016


Self-selected option - 2

Details of the programme attended or completed -

What topics were covered?

What were YOUR key learning outcomes?

Will this programme change you practice in the future? (If Yes, how will it change)

Please include any certificates relevant for this option

PHECC Sample EMT CPC Portfolio 2016


Self-selected option - 3

Details of the programme attended or completed -

What topics were covered?

What were YOUR key learning outcomes?

Will this programme change you practice in the future? (If Yes, how will it change)

Please include any certificates relevant for this option

PHECC Sample EMT CPC Portfolio 2016


Self-selected option - 4

Details of the programme attended or completed -

What topics were covered?

What were YOUR key learning outcomes?

Will this programme change you practice in the future? (If Yes, how will it change)

Please include any certificates relevant for this option

PHECC Sample EMT CPC Portfolio 2016


Additional information

(Please include any relevant additional certificates etc. after this page)

PHECC Sample EMT CPC Portfolio 2016


This section is to be completed only where an EMT has
not met the requirements in this CPC cycle

Please provide a statement of why you have unable to meet your CPC
requirements -

What measures will you undertake to meet the requirements before re-
registration?

Do you understand that you must meet the CPC requirements before you
re-register your licence? (closing date 3rd of March each year)

NOTE Doctors certificates etc should not be included


here. If an EMT is in such a position, they should contact
the PHECC registration officer or the EMT CPC
coordinator.

PHECC Sample EMT CPC Portfolio 2016


Personal Development Section

(This is optional to assist you in self appraisal and identifying where the

potential weaknesses in your practice lie. You may, if you wish, remove it

before submitting your portfolio for assessment if you are called to do so.)

PHECC Sample EMT CPC Portfolio 2016


Record of CPG implementation

This may highlight what areas you have not used during the current CPC cycle which may indicate an area that needs personal
revision

2016 CPG title used Record each with X

Section 2 Patient Assessment


Primary Survey Medical Adult
Primary Survey Trauma - Adult
Secondary Survey Medical Adult
Secondary Survey Trauma Adult
Pain Management - Adult
Section 3 Respiratory Emergencies
Advanced Airway Management - Adult
Inadequate Ventilations Adult
Exacerbation of COPD
Asthma - Adult
Section 4 Medical Emergencies
Basic Life Support Adult
Foreign Body Airway Obstruction Adult
VF or pulseless VT Adult
Asystole - Adult
Pulseless Electrical Activity Adult
Post resuscitation Care - Adult
End of Life - DNR
Recognition of Death Resuscitation not indicated
Cardiac Chest Pain Acute Coronary Syndrome
Symptomatic Bradycardia Adult
Altered Level of Consciousness - Adult
Allergic Reaction/Anaphylaxis Adult
Decompression Illness (DCI)
Epistaxis
Glycaemic Emergency Adult
Hypothermia
Poisons Adult
Seizure/Convulsion - Adult
Sepsis Adult
Sickle Cell Crisis - Adult
Stroke
Mental Health Emergency
Behavioural Emergency
Section 5 Obstetric Emergencies
Pre-Hospital Emergency Childbirth
Basic Life Support Neonate (<4 weeks)
PV Haemorrhage in Pregnancy
Postpartum Haemorrhage
Umbilical Cord Complications
Section 6 - Trauma
Burns Adult
External Haemorrhage Adult
Harness Induced Suspension Trauma
Head Injury Adult
Heat Related Emergency Adult
Limb Fracture - Adult
Shock from Blood Loss - Adult
Spinal Injury Management
Submersion Incident
Section 7 Paediatric Emergencies
Primary Survey Medical - Paediatric
Primary Survey Trauma - Paediatric
Secondary Survey Paediatric
Pain Management Paediatric
Inadequate Ventilations - Paediatric
Asthma - Paediatric
Stridor Paediatric
Basic Life Support - Paediatric
Foreign Body Airway Obstruction - Paediatric
VF or pulseless VT - Paediatric
Asystole Paediatric
Symptomatic Bradycardia - Paediatric
Post Resuscitation Care Paediatric
Allergic Reaction/Anaphylaxis Paediatric
Glycaemic Emergency Paediatric
Seizure/Convulsion Paediatric
Pyrexia Paediatric
Sickle Cell Crisis Paediatric
External Haemorrhage Paediatric
Shock from Blood Loss Paediatric
Burns Paediatric
Section 8 Pre-Hospital Emergency Care Operations
Major Emergency (Major Incident) First Practitioners on Site
Major Emergency (Major Incident) Operational Control
Triage Sieve
Team Resuscitation
Record of Medications administered

This may highlight a medication that you havent utilised in the current CPC cycle which may indicate an area that needs
personal revision

Record with an A or P for each use to indicate an


Medication name
Adult or Pediatric patient
Aspirin
Chlorphenamine
Epinephrine 1mg/1ml (1:1000)
Glucagon
Glucose Gel
Glyceryl Trinitrate (GTN)
Ibuprofen
Mthoxyflurane
Naloxone
Nitrous Oxide 50% and Oxygen 50% (Entonox)
Oxygen
Paracetamol
Salbutamol
What personal learning needs have you identified this year?

What actions do you intend to take to address these learning needs


Message from the EMT CPC Coordinator

Dear EMT,

This sample portfolio is intended to be a starting point for you, the practitioner. It
is not intended to be the only accepted format for PHECC when we are assessing
portfolios. From our recent assessment of portfolios, we identified many
exceptional formats used by practitioners for collating their data. This sample is
merely to provide some guidance and clarity to EMTs. You are free to utilise the
sample, to continue using your own template or indeed, mix and match whatever
suits your needs.

CPG organisations are free to contact us whereby we will supply the template
with their logo present on it to personalize it for their organisation where
necessary.

I would like to acknowledge the assistance I have received in creating this sample
portfolio, specifically from Rory Dullard of the Irish College of Paramedics, Alan
Batt from www.prehostitalresearch.eu, Dr. Shane Knox for his expert advice and
the EMT CPC assessor group.

Finally I wish you the best of luck in completing your portfolio and encourage
you to engage with PHECC whenever you require assistance or advice.

Omar Fitzell
EMT CPC Coordinator
omar@phecc.ie