During your second clinical placement, you will continue to develop your clinical skills and knowledge in the prehospital environment, transitioning to an intermediate level of practice under the support and guidance of your supervising paramedic crew. A major aspect of your continued development is mentor feedback, providing you with independent commentary on your current clinical performance from the point of view of industry colleagues. The Placement Attendance & Performance Evaluation Reports (PAPERs) capture supervisor feedback on performance and attendance in written format for assessment.

This assessment task guides you and your crew through a review process designed to promote self-assessment on your part, and to prompt the most practical and useful type of feedback from mentors. You will complete these reports together with your supervising paramedic(s) so that you can discuss the feedback and grade choices. Your mentors or your OIC are also required to complete details of shift attendance and professional conduct for the purpose of academic verification.

It is important to note that these documents are not solely to confirm your completion of course requirements; they are equally valuable as evidence logs of your professionalism, conduct, and clinical performance that will support your future employment applications. For these reasons they are arguably the most valuable documents from your clinical placement, and it is imperative that you are diligent in completing them with your mentors as instructed.

Whilst attending placement you will provide a copy of the Student Information Sheet to all mentors that you work with. This sheet provides information on appropriate performance expectations, the goals of this placement phase, and on the performance review process. Appropriate feedback and grading from your mentor depends upon their access to this information, and it also provides University contact details in the event of emergencies or problems, so please ensure that you follow this simple request.

Your submission must meet the following criteria to pass this assessment task:

• You must attend all scheduled shifts for both placement rotations. Minimum placement hours apply.
• You will complete one PAPER for Rotation One, and another PAPER for Rotation Two.
• You will submit both PAPERs together on the first Friday following completion of your final placement rotation.
• All fields must be completed in full according to directions on the Information Sheet at the front of the document.
• Your shift attendance log must be verified as true and correct by either one of your mentors or your station OIC.
• Notify the placement host by phone asap of any unplanned absenteeism; next complete the Absenteeism Notification form in Moodle and notify the Course Coordinator via email. Absences must be logged on the shift log, and arrangements made to complete missed hours.
• Minimum expectations of clinical performance and professional conduct grades are detailed within the submission checklist on the back of each PAPER.
• Direct reports from industry of student misconduct, or of significant concerns regarding clinical performance, are investigated fully and may impact successful completion of this assessment task.
• Direct industry reports can delay return of PAPERs due to the time delay incurred in gaining reports from shift-working paramedics and OICs, and subsequent investigations.
• Please scan all pages of your PAPERs, and compile into ONE SINGLE pdf file for submission via Moodle.

Further information and examples of completed documentation are provided on Moodle. Attendance and mentor reports are subject to random validity checks with placement hosts.

Professional conduct:

Your professional conduct during clinical placement is subject to evaluation. Significant penalties, ranging from course failure to program expulsion, exist for students whose conduct and/or actions breach University policies and/or those of the industry placement host. Direct lines of communication exist between placement hosts and the University, and all complaints or concerns raised by industry representatives will be fully investigated. In such circumstances both student and industry perspectives are sought.

Please review the policies and rubrics for this assessment task prior to placement; these are available on the Moodle assessment page.

You must submit and pass this assessment to pass the course. This is a pass/fail assessment.

This assessment comprises a combination of clinical and self-review tasks presented in workbook format. These tasks support your continued professional development through structured reflective practice activities and self-directed learning. In addition to narrative self-reviews, case and skill logs capture clinical experience and skills praxis, enabling an objective summary of clinical exposure. In-depth clinical case reviews involve detailed exploration of the clinical presentation, pathophysiological processes, and treatment paradigms involved with one particular case you attended at each location.

As this placement comprises two individual rotations at both an urban and a rural station, you will complete one Portfolio Workbook for each rotation. These workbooks also include a section prompting you to collate information regarding each of your placement stations and geographic regions. This supports exploration of the differences between urban and rural paramedic practice, and the information gained will provide the basis for your Placement Review Presentation.

Please review the workbook thoroughly before commencing placement. All sections have instructions at the start, and a completed example workbook is provided. You must complete all sections of both workbooks according to the instructions provided.

Your submission must meet the following criteria to pass this assessment task:

• You will complete both the Rotation One and Rotation Two workbooks according to the instructions and the completed example.
• You must complete your workbooks as you go along during placement! For this reason workbooks are provided as simple hardcopy pages so that you need carry only pen & paper during shifts, rather than expensive electronic devices.
• Please keep handwriting legible and please do not write ENTIRELY IN CAPITALS - it makes for slower reading and marking!
• Please scan these pages and combine both workbooks into one PDF document.
• You will submit your combined workbook document on the third Friday following completion of your final placement rotation.
• All sections must be completed in full according to directions.
• Completion expectations are provided within the assessment checklist at the back of each workbook.

Further information and examples of completed documentation are provided on Moodle. You must submit and pass this assessment to pass the course. This is a pass/fail assessment.

Paramedic work in rural and remote areas can be very different to urban and big city practice in many ways, some of which you may not have expected. Rural and remote practice also presents greater opportunity to treat and work with Indigenous people and communities than urban and city work. This term your readings have covered information on the expanded paramedic role in rural and remote communities, and on topics relating to the health of and healthcare for Aboriginal and Torres Strait Islander communities. You will consider this information and your own placement experiences this term within your presentation assessment task.

This assessment piece encourages reflection upon your rural and urban placements, and deeper consideration and exploration of one related topic. You will base your presentation upon your choice of one of the following topic options below:

1. Does the local population of your rural placement receive the same overall standard of medical care as the population of your urban placement? Your presentation must consider not only emergency medical care but also the broader health care system. How do the medical, government, and non-government organisations in your rural town work together to collaboratively raise the standard of rural care? This can mean working with other agencies during long or difficult cases, or interdisciplinary training to expand core skill sets, etc. What additional strategies do you think could be employed to further improve care delivery in your rural placement location? Please speak to local people when working on this topic, such as your patients, paramedic colleagues, and healthcare workers. What do they think of their local healthcare services, and what would they change if possible? Can these needs be met even partially through greater cooperation between existing services?
2. Do the local Indigenous people of your placement towns receive health care specific to their needs? Across Australia, many health and social problems are more prevalent in Aboriginal and Torres Strait Islander communities than in non-Indigenous populations, resulting in a different profile of medical care and public health needs in these communities. Furthermore, Indigenous people may conceptualise their health and wellbeing through more naturalistic, holistic, and spiritual lenses that are significantly different to the predominately physiological view of western medicine, leading to cultural and communication mismatch with typical health services. These factors create a need for health care services for these communities that supports the medical needs of Indigenous people in a manner contextualised to their culture. language, and ways of being and understanding. Please consider the health profile of Indigenous people in both your placement communities, and identify whether or not theThis will include consideration of contemporary issues in Indigenous health, and what culturally contextualised healthcare services, such as Indigenous community health clinics, public health programs, exist to meet these specific needs. Are the healthcare needs of Indigenous people adequately met in your placement locations?
3. Create a 5-min instructive presentation that introduces paramedics to the core concepts of culturally-sensitive prehospital care. What information and skills do paramedics need to better understand Indigenous healthcare needs, and to better communicate with Indigenous clients during emergency and non-emergent situations? This may include overview of Indigenous concepts of health and illness, death and dying, as well as other relevant information such as general communication skills. There is a lot of information available online relating to care for Indigenous people in various healthcare facilities and situations, such as palliative care, diabetes, mental health, alcohol and other drugs, and many more; you should review these information sources and extract those tips and guidelines most applicable to our context of prehospital care. This is too short of course to be a comprehensive instructional video, but consider that you are creating a primer to raise paramedics' awareness of these cultural differences, and to give a brief overview of good practice in culturally sensitive care.
4. How can the paramedics of your rural ambulance station better contribute to the health and wellbeing of the rural community? This will be dependent upon the actual activities of your rural station, and what you consider would be good additional activities that are not currently performed. These activities must of course not interfere with normal response, but be strategies such as delivering short presentations at community group meetings, interdisciplinary training with other agencies, etc. Start by looking at your community and what groups and organisations are present or absent, which areas appear underserviced, and consider what health care and emergency medical information messages or skills training paramedics could effectively deliver to the community. You can additionally consider how to improve community support for the rural ambulance station, such as by supporting the Local Ambulance Committee and their activities, and generating new volunteer recruits.

Your presentation should be a PowerPoint presentation with voice-over recording, and five to seven minutes in length. Please be creative in your approach, using good photographs from your own placement experiences, and you may also include other media such as video diaries or recorded interviews. Different topic ideas are welcome, so if you do have any ideas for a different question relating to some issue of significance in one placement location, or vast difference in service delivery between your placement locations for example, please feel free to run this past the Lecturer for approval.

This presentation is based upon your experiences at your placement stations and townships. Two students presenting on the same topic will therefore have different perspectives and experiences; as such there is no 'right' or 'wrong' answer, but you must back your arguments and opinions with actual data and evidence. For example, research what Indigenous-specific services actually exist in both locations and tabulate this data; go out and talk to community members and representatives, including your patients; look up and adequately reference information sources as appropriate.

Expanded and complete information on this assignment is provided upon the Placement assessment page within Moodle, and this assessment task will be further unpacked during an informational recording / Q&A tutorial. The following criteria must be met to ensure a pass grade.

• The presentation should be a PowerPoint format with recorded narration, and multimedia such as interviews & video may be included.
• The presentation must address one of the topic options as shown above; if you have a good idea for an alternative topic, please confirm with the Lecturer first.
• Each question has several sub-questions, and as such superficial coverage of the main topic question only is insufficient. You may find it appropriate to consider other aspects of each topic in addition to or instead of the listed sub-questions as relevant to your placement experiences or research findings.
• As this is a presentation you should include images from your placement locations, as well as any tables or diagrams that you deem necessary.
• The presentation must be five to seven minutes in duration.
• Information and image sources must be appropriately referenced, using APA style.

You must submit and pass this assessment to pass the course. This is a pass/fail assessment.