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Daily performance form 2026

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The document is a daily performance record for interns in the Paramedic Program at Imperial Valley College. It outlines the evaluation process for interns, requiring them to rate their performance and that of their preceptors across various categories such as treatment skills, leadership, communication, and scene management. The record includes sections for comments, ratings, and signatures from both the intern and preceptor, aimed at assessing and improving the intern's competencies during their field internship.

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Click ‘Get Form’ to open the daily performance form in the editor.
Begin by entering your name, shift number, date, and time in the designated fields at the top of the form.
In the 'Interning Agency/Unit #' section, input the relevant agency or unit information.
Fill in your preceptor's name and substitute preceptor if applicable.
Rate each run based on treatment skills, leadership, communication, and other specified categories using a scale from 1 (Fails to Perform) to 3 (Competent).
Provide comments for each run in the comments area to give context to your ratings.
Complete the summary of performance section with insights from your day’s activities.
Ensure both you and your preceptor sign at the bottom of the form for validation.

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Versions	Form popularity	Fillable & printable
2012	4.8 Satisfied (83 Votes)
1999	4.3 Satisfied (118 Votes)

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Daily performance form 2026

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