Page 85 - DIDC SOPS and Guidelinesv as of April 2019

Individual Requirement
Training Course PMO-6018-03-q
Evaluation Requirements
Contingency Released Date
Operations 11/26/2018 Page 1 of 1

Note: Once this form is complete it will ONLY be valid for 1 calendar year.

Name: (Last, First, MI): _________________________________

Item # Task # Task Go No Go Date
First Aid
1 081-COM-1001 Evaluate a casualty
2 081-COM-1005 Perform first-aid to prevent or control shock
3 081-831-1025 Perform first-aid for open abdominal wound
4 081-831-1026 Perform first-aid for an open chest wound
5 081-831-1032 Perform first-aid for bleeding of and extremity
6 081-831-1033 Perform first-aid for an open head wound

General Information: Evaluation:

This material will be evaluated through hands on practical exercises and/or performance
evaluations. However, all students will conduct hands-on practical exercise for tasks item
numbers 1 through 3. The instructor will make on the spot correction during the practical exercise.
Item numbers 4 through 6 will be given by a SME (Subject Matter Expert) representative. If the
student fails to meet the standards through evaluation, he/she will be retrained and retested.

Feedback:

The students will receive timely feedback from the instructors during all practical exercises,
hands-on performance evaluations, and written evaluations. The student will be counseled
(positive and/or negative) based on their performance on evaluations and classroom participation.
If the student passes all steps, score him/her GO. If he/she fails any steps, score him/her NO GO,
then show him/her what he/she did wrong and how to do it correctly.

Certifying Official

Name: _____________________________

Signature: ____________________________ Date: __________________

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the most current version available by verifying the released date matches the controlled version on SharePoint.