Overview

The Skills & Patient Care section of Fisdap is where you and your students can document skills, patient encounters, and fill out skill sheets and evaluations.

The first page you will see is the Skills & Patient Care page. This page lists all of the students’ shifts and will grow to include the entire internship. The shift list is organized in chronological order, but you can always sort based on shift type (lab, clinical or field) or pending shifts.

At a glance, the shift list page will tell you how many patient contacts have been entered, when shifts have been locked for completion, if a shift has been audited, if a shift was signed off by a preceptor, and if there are any comments and/or attachments. If you scroll down to the bottom of the page, you’ll see a snapshot of the students’ hours, patient care, and attendance reports.

Instructors can easily communicate with students using two different options:

  • Sending a message for one specific shift:
    Click on the message button, add your comment and click the Save button.
  • Sending a message for a specific patient contact:
    Go to a specific shift, select the message button next to the patient you need to make notes on, add your comment, and click the Save button.

 

Settings

If you have permissions set by your school, you can customize student permissions, what and when emails are sent, auditing, preceptor sign off, whether shifts lock automatically, and the local procedures and medications your students can use.  You can also set up and manage Lab Practice goals for your students. 

To change and manage your settings:

  1. Go to the main Skills & Pt. Care page. 
  2. Locate and click on the Settings link with the gear icon at the top of the page.
  3. Update the settings and be sure to click the Save button when you're finished.
  • You turn something on by checking the box and you turn something off by unchecking a box or leaving it unchecked.
  • The default settings are what Fisdap recommends based on how schools most commonly use Skills Tracker.
  • Click the orange question mark Orange question mark icon to read more detailed information about the differences between settings.

You can manage your Narrative page. Look for the Documentation Options, under Skills Tracker Settings - Features. Click on Manage narrative format. You can make the narrative feature more productive by adding new sections, changing the names, and selecting the size box. Click Preview to view your Narrative page and click Save.

 

Document Skills and Patient Care

Choose the shift you want to update with the student’s patient care documentation. Click anywhere in the shift row to advance to the My Shift page (for students the page is called the My Shift page—you will see the student's name displayed).

To quick add a shift, select the shift you want to create 

  

Make sure all of the information about the shift is accurate. 

Once the shift is created to the students shift list, you can use the Map it tools to see the address and get directions to this shift location.

From the My Shift page, students can see their goals, add lab practice items, add patients, attachments and shifts evaluations.

To document patient contacts, click on the Add Patient button .

Follow the directions and document all of the required fields*. You will not be able to lock your shift if there is a missing required field. 

For the patient care form, here are a few helpful tips to keep in mind:

  • All data is automatically saved as you type to minimize any data loss if you get interrupted.
  • Check boxes mean you can choose more than one option.
  • Circular (radio) buttons mean you can choose only one of the presented options.
  • You only need to enter information that’s required or pertinent to your patient care report. Be thorough and complete, but you may skip non-required information.
  • The orange diamond  identifies sections where you can earn credit towards your NSC goals.
  • Wherever you see the evaluation symbol Fisdap Evaluation Icon, you have the option to enter an eval about that skill.
  • In the Vitals and Interventions section, you can click on any of the tabs to add information.
    • Use the drag and drop feature to rearrange the interventions in their correct order.
    • Use the duplicate tool Duplicate tool icon to quickly add identical vitals or treatments.
    • If you delete something Delete icon, you will have the immediate option to undo. If you do not undo, the deletions will be permanent (see picture attached under Quick Add Skills).

 

Quick Add Skills

For Clinical and Field shifts where skills were performed independently of patient assessments, students can simply quick add skills they performed or observed instead. With Quick Added Skills, you can mark if the skill was successful as well as rapidly duplicate skill entries. This setting can be turned off in the Skills Tracker Settings.

  1. Find the student whose shift data you want to add or edit.
  2. From the shift page, go to the Quick Add Skills section and begin adding the data: select a skill, add interventions peformed or observed, indicate if the skill was successfully performed or not.
    • Click the duplication icon Duplicate icon to repeat the skill.
    • Click the delete symbol Delete icon to remove the skill.
    • Click the Eval icon  to add a Skills Sheet & Evaluation.

 

Add Attachments

To better document your shift, you can upload important documents.

Click the Add Attachment button . You have the option to add an attachment from your gallery, scanned documents, or take a picture using your computer camera. You can name your file, choose a category for your attachment, and make notes. Avoid including patient information that could violate HIPAA.

 

Lab Practice

The Lab Skills Tracker revolves around the Lab Practice goal sets your program creates for your students.  From the Skills & Pt. Care page, click Settings in the upper right corner, then click the 2nd tab to access the Lab Skills settings.

Each certification level (EMT, AEMT, Paramedic) has their own set of items your students can practice in the lab.  For EMTs, you will notice the default sets contain the NREMT’s psychomotor examination skills.

You can add new items by clicking the +Practice item button. You cannot delete lab practice items. Changing the visibility of an item will remove it from the student’s goal set.  Once you’ve created an item, you can change its name by clicking it.

You can attach a skill sheet or evaluation to an item by clicking the the Eval icon .  If an item does not have a skill sheet attached, the student will be prompted to record the evaluator and result (pass/fail) of an item instead of filling out an entire skill sheet.
 


Each time a student indicates they completed a lab practice item in the Skills Tracker, they will receive credit for any attached skills.  In the example above, any time a student successfully completes a “BVM Ventilation,” they will receive credit for the “Manual ventilation” skill in Fisdap’s skill report.  You can add as many skills to a lab practice item as you choose.

This example item would be considered complete for a student when they are checked off 5 times by a peer and 1 time by an instructor.

You can confirm multiple items and add multiple students per Lap Practice.

Click on the Add Partner button . Select the students you want to add the lab practices. You will now see the selected students, each on a different section. Choose the lab practice item, one at a time. You can choose the same lab practice item for each, or different lap practice. 

 

Evals

You can add an eval for a student or review completed evals about the students' performance on the shift. Our standard evals include site evaluation, preceptor evaluation, and professional behavior evaluations.

To add an eval:

  1. Select the student whose shift you want to review.
  2. Click on the shift to go to their My Shift page.
  3. Scroll to the bottom of the page for the Shift Evaluation section.
  4. Choose the eval you would like to add and click the Go button.
  5. An eval will pop up in a new window. Check the Evaluator and Subject names. Complete the evaluation and click Submit and close.

To review an eval:

  1. Select the student whose shift you want to review.
  2. Click on the shift to go to their My Shift page.
  3. Scroll to the bottom of the page for the Shift Evaluation section.
  4. If any evals were entered, a sub-section will appear called Completed Evaluations.
  5. Click the name of the eval to link to the form, which will open in a new window.

To find a specific eval, or a list of evals done by a specific instructor, or to view all evals from a single student:

  1. Go to the Reports orange tab, click on Evals & Skill Sheets.
  2. Evaluations: Select the Evaluation that you would like to see, or leave All to see all evaluations from a student, or instructor.
  3. Filled out by:
    Select instructor to see evaluations done by one instructor. Select the instructor name from the drop-down menu.
    Select student to see evaluations done by one student. Select the student name from the drop-down menu.
    Select preceptor, site, base, or anyone, and follow the next step to see evaluations filled out by one of those options.
  4. Evaluating:
    Select instructor to see evaluations completed for that instructor. Select the instructor name from the drop-down menu.
    Select student to see evaluations completed for that student. Select the student name from the drop-down menu.
    Select preceptor, site, base, or anyone, and follow the next step to see evaluations completed for one of those options.
  5. Select the date range.
  6. Check the box if you want to see only evaluations that have been confirmed by an educator.
  7. Click Go.

If you don't find the evaluation forms that you need, get in touch with Fisdap Support at 651-690-9241, and they will work with you to find or create the evaluations you need. Creating custom evaluations is a manual process, so it can take a month or more to get custom evals input in the system. 

 

Preceptor Sign Off

Preceptor sign off is an optional feature that you can turn on or off for your program. Preceptor sign off is a feature that allows preceptors to fill out an eval and review student data for accuracy. You can enable preceptor sign off on a shift level, or on a paitent level.

To access the preceptor sign off page on a shift level:

  1. Select the student whose shift you want to review.
  2. Click on the shift to go to their My Shift page.
  3. Click the Preceptor sign off button 
  4. The preceptor sign off page includes a Shift summary, a Plan of action, and the Evaluator signoff box.
    • Depending on your settings, the preceptor will type in their unique Fisdap username and password, or provide their electronic signature.
    • In the evaluator signoff box, preceptors also have the opportunity to lock the shift, which will prevent the student from making any changes to the shift data the preceptor has already reviewed.

To access preceptor signoff on a patient level:

  1. Select the student whose shift you want to review.
  2. Click on the shift to go to their My Shift page.
  3. Choose the patient you want to review. 
  4. Click on the preceptor sign off button next to the patient. The preceptor sign off page includes a Shift summary, an evaluation for the preceptor and/or student to complete, a Plan of action and the Evaluator sign off box. 
    • Depending on your settings, the preceptor will type in their unique Fisdap username and password or provide their electronic signature.
    • In the evaluator sign off box, preceptors also have the opportunity to lock the patient, which will prevent the student from making any changes to the patient data the preceptor has already reviewed.

 

Lock Shifts

Students lock shifts when they have finished entering all their data–this action signfies the shift data has all been completed and prevents the student from entering anything further or making changes.

If your school has input late data settings in Fisdap that require students to complete and lock shifts before a certain deadline, students will receive late data email reminders and notifications until the shift is locked.

To lock a shift:

  1. Select the student whose shift you want to review.
  2. Click on the shift to go to their My Shift page.
  3. Click on the Lock shift button.
  4. The Lock Shift History box will appear. You will be warned if there's any required data missing–otherwise, click the Lock Shift button a second time to confirm.
    • Once you have locked the shift, you will see the closed lock icon Locked shift icon
    • An open lock Unlocked shift icon indicates a shift that has been unlocked or not yet locked.
    • You can click on the lock icon at any time to review the Lock Shift History information.

If a student needs a shift unlocked, they must go to an instructor. Fisdap staff will not unlock a shift for a student.

If you unlock a shift that has been audited, the shift must be re-audited and locked again. Same works for shifts that were signed off by a preceptor.

 

Audit Shifts

Auditing student data ensures that entries are correct and truthful. Fisdap recommends that you audit at least 10% of your students' data because this is the minimum for statistical confidence that the remaining 90% is accurate. Auditing at least 10% of your students' data is also required for indicating a student has good data when you mark them as graduated.

To audit student data:

  1. Find the student you whose shifts you want to review.
  2. Click on a locked shift.
  3. Click on the View Detailed Shift Report link to review the shift summary.
  4. Check the Audited box once you are confident the shift data is complete and accurate. 

If you unlock a shift that has been audited, the shift must be re-audited when it has been locked again. 

 

Attendance

Instructors should have the ability to check attendance for all shifts. Student’s will be marked as On Time for every shift.

  1. Go to Skills & Patient Care.
  2. Select the student you need to edit attendance for
  3. When you have the student’s shift page open, you will on top of the On Time and it will change to a pencil icon. click on the Pencil  under Attendance


  4. A new windo will open up.
  5. Confirm the Site/Base.
  6. Change the attendance to Tardy, Absent, or Absent with Permission.
    *For students who are tardy, instructors can change the duration to reflect the actual time attended.
  7. The comment box can be used to add notes. For example; Student had a flat tire, or Doctors note is attached for Absent with Permission. In the future, instructors know the reason why the student was marked absent or tardy.
  8. Click Save to confirm the changes made.