Mecklenburg EMS:
Clinical Field Experience Identification & Emergency Contact Form.
We offer clinical field experience to partnering agencies. EMT and paramedic students riding with us perform clinical skills under the supervision of a preceptor. Nursing, other medical, and physician riders (students or licensed) with us may shadow only and cannot perform skills.
Completion of this form is required for all EMT and paramedic students, Atrium Event Health employees, nursing, medical, and physician riders. It should be completed as soon as the shift is scheduled. Once submitted, the information is entered into a database and referred to by our OAs (Operating Assistants) upon your arrival. Failure to complete this form >48 hours before your scheduled shift can result in a cancellation of your ride-along.
The form is intended to verify your identity upon arrival at Medic and provide emergency contact information. You will only need to complete it the first time you are scheduled to ride with us.
Please read the rider expectations carefully. Our OAs strictly follow these expectations and will cancel your scheduled shift if you do not meet them. If your shift is cancelled, advise your instructor. Instructors are to contact the Clinical Coordinator ONLY within business hours. Do not expect resolution at the time the shift is cancelled.
Please let your instructor know how your experience went. We use feedback to make improvements and to acknowledge our crews that have provided an excellent clinical experience.
Thank you for riding with us!
RIDER EXPECTATIONS
Dress Code:
Clothing:
- Shirt: One color polo-style shirt or department/agency/school uniform shirt. Current certification patches are permitted.
- Pants: Black/Dark Blue slacks/EMS pants.
- Shoes: Black athletic shoes or black EMS-style boots.
- School uniform ID: desirable but not required.
- Consider having appropriate gear for inclement weather. We are often outside for long periods.
Appearance:
- Clean, neat appearance.
- Medic’s Appearance Policy standards must be met. Pay particular attention to these items. (A copy of the policy is provided below.)
- Facial hair policy: Must be clean-shaven or goatee-style beards and mustaches only.
- Piercings:
- No eyebrow, lip, or visible transdermal piercings are allowed.
- You may wear a nose piercing with a stud-style insert up to 1 mm or a nasal septum piercing that is not visible.
Additional:
- Photo ID: MUST BE CARRIED ON YOU AT ALL TIMES DURING YOUR SHIFT
Arrival Time:
- Arrive 15 minutes before the start of your shift.
- Late arrivals will result in the cancellation of the scheduled shift.
- Crews cannot be held from deploying due to the delay or lateness of a student.
- Arrive 15 minutes before the start of your shift.
During the shift:
- You must wear seat belts at all times when the vehicle is in motion, unless it is impossible to do so.
- You may not drive the ambulance at any time for any reason.
- Individuals who are not riding as part of a contracted clinical field experience are not permitted to treat patients and are only permitted to observe and perform limited tasks as instructed by the crew.
- You are expected to observe courteous, common-sense behavior towards our patients, crews, facility staff, and any other people you may come into contact with while on our ambulance.
- Riders are expected to follow all directions from the crew and to adhere to all safety rules, including wearing any personal protective equipment as directed by the crew.
Riders who do not comply with these expectations will be asked to leave and may not be allowed to ride in the future with Medic.
These rules are subject to change and/or revision at any time with/without notice.