[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-364775-105":59,"doc-detail-364775-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","competency-tracking-form-emt-instructor-verification-of-student-competency","Competency Tracking Form - EMT-Instructor Verification of Student Competency","","Competency Tracking Form for EMT training, requiring the EMT-Instructor to date and initial the appropriate spaces to confirm each student demonstrates competency in listed skills. Completion of all skill areas is required at course end to qualify for certification testing and for state certification eligibility. The form organizes competencies across preparatory, airway, patient assessment, and medical/behavioral/OB-GYN domains, each item marked for instructor verification.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":20,"@type":76,"position":81},"https://docshare.wps.com/document/exam/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/competency-tracking-form-emt-instructor-verification-of-student-competency/364775/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/competency-tracking-form-emt-instructor-verification-of-student-competency/364775.png","ImageObject",300,407,{"name":92,"@type":93},"supergirl","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-04","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",18,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"Who must verify the student’s competency, and what is required to do so?","Question",{"text":113,"@type":114},"The EMT-Instructor must date and initial the appropriate spaces to verify the student demonstrated competency for each listed skill.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What is required at course completion for certification testing eligibility?",{"text":118,"@type":114},"All skill areas must be completed to signify eligibility for certification testing.",{"name":120,"@type":111,"acceptedAnswer":121},"Which competency categories are included in the form?",{"text":122,"@type":114},"The form covers Preparatory Competencies, Airway Competencies, Patient Assessment Competencies, and Medical, Behavioral and OB/GYN Competencies.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},364775,1790380094,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":19,"category_name":20,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":29,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},962088121634,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","Student Name:   Student Certification \\#:    \nInstructions: The EMT-Instructor must date & initial the appropriate spaces to verify that the individual student has demonstrated competency in performing each of the skills listed. At course completion all skill areas must have been completed to signify eligibility for certification testing. Competency in all relevant skills contained within the Competency-based EMT program is required for state certification.  \nInstructor Verification of Completion::   Signature:   Date Verified:    \n\n| Preparatory Competencies 1 2 3 4 5 |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- |\n| 1 | Must demonstrate the ability to select, don, remove and discard PPE | | |  |  |  |\n| 2 | Must demonstrate the ability to properly disinfect/clean EMS equip/ambulance | | |  |  |  |\n| 3 | Must demonstrate the ability to properly comply w/infectious control exposure using local protocols | |  |  |  |  |\n| 4 | Must demonstrate the ability to assess a patient for breathing difficulty | | | | | |\n| 5 | Must demonstrate ability to acquire a pulse providing rate, rhythm, and strength | | | | | |\n| 6 | Must demonstrate ability to assess the skin color, temp, and condition in an adult | | | | | |\n| 7 | Must demonstrate ability to assess capillary refill in pt. \u003C 6 yo. | | |  |  |  |\n| 8 | Must demonstrate ability to assess the pupils as to equality, size, reactivity | | | | | |\n| 9 | Must demonstrate ability to obtain a blood pressure | | | | | |\n| 10 | Must demonstrate ability to obtain a SAMPLE history | | | | | |\n| 11 | Operate stretcher | | |  |  |  |\n| 12 | Operate Stair chair | | |  |  |  |\n| 13 | Move Patient using Spine board | | |  |  |  |\n| 14 | Move pt. from ambulance stretcher to a hospital bed | |  |  |  |  |\n\n\n| Airway Competencies 1 2 3 4 5 |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- |\n| 1 | Must demonstrate ability to perform a chin-lift during an airway scenario | | | | | |\n| 2 | Must demonstrate ability to perform a jaw thrust during an airway scenario | | | | | |\n| 3 | Must demonstrate ability to perform suctioning during an airway scenario using soft/rigid suction devices | | | | | |\n| 4 | Must demonstrate ability to provide mouth to mouth ventilation using BSI (pocket mask) | | | | | |\n| 5 | Must demonstrate ability to assemble, connect to O2 and ventilate during airway scenario using BVM | | | | | |\n| 6 | Must demonstrate ability to ventilate using a BVM for 1 min each demonstration | | | | | |\n| 7 | Must demonstrate ventilating with a flow restricted, oxygen powered ventilation device | | |  |  |  |\n| 8 | Demonstrate how to artificially ventilate patient w/stoma | | |  |  |  |\n| 9 | Demonstrate how to insert OP airway during an airway scenario | | | | | |\n| 10 | Demonstrate how to insert NP airway during an airway scenario | | | | | |\n| 11 | Correctly operate O2 tanks and regulator | | | | | |\n| 12 | Demonstrate use of non-rebreather and adjust O2 flow requirements needed for use during airway scenario | | | | | |\n| 13 | Demonstrate use of nasal cannula and adjust O2 flow requirements needed for use during airway scenario | | | | | |\n| 14 | Demonstrate how to artificially ventilate an infant and child during scenario | | |  |  |  |\n| 15 | Demonstrate O2 administration to infants and children | | |  |  |  |\n\n\n| Patient Assessment Competencies 1 2 3 4 5 |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- |\n| 1 | While reviewing scenes identify potential hazards | | | |  |  |\n| 2 | Demonstrate the techniques for assessing mental status in a scenario | | | |  |  |\n| 3 | Demonstrate techniques for assessing the airway in a scenario | | | |  |  |\n| 4 | Demonstrate techniques for assessing [if pt. is](if pt. is) breathing in a scenario | | | |  |  |\n| 5 | Demonstrate techniques for assessing if pt. has a pulse scenario | | | |  |  |\n| 6 | Demonstrate Techniques for assessing pt. for external bleeding in a scenario | | | |  |  |\n\n\n| Patient Assessment Competen","cbCaifli6NttrZ73","https://ap.wps.com/l/cbCaifli6NttrZ73","pdf",261118,"English","# Instructor Verification of Completion\n## Preparatory Competencies\n## Airway Competencies\n## Patient Assessment Competencies\n## Medical, Behavioral and OB/GYN Competencies","[{\"question\":\"Who must verify the student’s competency, and what is required to do so?\",\"answer\":\"The EMT-Instructor must date and initial the appropriate spaces to verify the student demonstrated competency for each listed skill.\"},{\"question\":\"What is required at course completion for certification testing eligibility?\",\"answer\":\"All skill areas must be completed to signify eligibility for certification testing.\"},{\"question\":\"Which competency categories are included in the form?\",\"answer\":\"The form covers Preparatory Competencies, Airway Competencies, Patient Assessment Competencies, and Medical, Behavioral and OB/GYN Competencies.\"}]","Competency Tracking Form - EMT-Instructor Verification of Student Competency | PDF",1790158992,15]