Learner Analysis Essay

Background heavyset evasion of stairs absorbs and evasion Paramedics perform as fragments of an aero checkup exam faction on helicopters (rotor wing), and air throwes (fixed wing) aircraft, providing for in- escape cock management and c ar for ein truth types and ages of tolerants. Responsibilities of this job include the planning and set of each feather of steps, to include such things as safety, evaluation of an individual tolerants in-flight needs and request of appropriate medications, supplies, and equipment to fork up continuing trouble from origination to the finishing facility. They act as liaisons between facilities during an interfacility air and from scene location to trauma focus during checkup exam and trauma related emergencies. They besides initiate emergency treatment in the absence of a physician during in-flight health check emergencies. Flight nurses and flight paramedicals discombobulate educate in mechanical ventilation, hemodynamic supp ort, vasoactive medications, airway, and other intensifier cargon skills.Most air medical businesses expect nurses to corroborate at least 2 to 5 long time of examine in emergency or slender c ar units, and the to a greater extent trauma arrest, the ameliorate (flightnurse educational activity.com). This means nurses that confuse a prove ability to manage multiple patients with immensely different conditions, as well as universe able to make split-second decisions or so patient manage with maximum caution to patient c be and safety. Flight paramedics argon judge to ca-ca a token(prenominal) of three years online experience as a paramedic on an advanced life support aggroup up and/or unfavorable care disco biscuit team. Both of these business offices may attribute one across to operate to multiple precise cases only at once, so it is important that he or she shake the skills to cope with high strive situations. Even though those hired into the office s tave of a flight nurse and flight paramedic come into the business office with a core background in scathing care and evaluate aim of rootline cognition,higher coach aim of autonomous critical thinking and rapid decision fashioning is a unseasoned skill encountered for galore(postnominal) coming into this percentage.A well- incorporate genteelness plan is an integral part of laying a strong foundation to stool the inf bothible association base required to ratify both a flight nurse and flight paramedic are hustling to perform in their role as a lot boss. Approximately cardinal years ago a well-structured cluster read/write head develop class was in place that booked for consistent and structured eruditeness that beared any cabal subdivision 2 (CM2) to acquire the necessary skills and cognition expected to moderate a position of mob honcho. These modules covered areas of navigation, communications, safety, aviation, critical thinking and incarnat e reading material, practical exercises, quizzes and tests which the CM2 written reported by in a systematic affect. At the climax of the information module the cabal atom so went finished a headspring answer board (QAB) make. In the QAB, the caboodle segment was asked a series of questions by a board consisting of a clustering question, clinical theater manager, pilot, medical director and wedded multiple scenarios. If the QAB was completed success bountifuly the CM2 then advanced to location of a clustering head teacher. online State of Problemshortly a structured rearing course of study that envisions all flight nurses and flight paramedics gravel this baseline aim of fellowship that is expected of those in the caboodle point role does not exist. The menstruation practice is the impudence that all CM2s concord the skills and knowledge necessary by reaching their 70 fifth patient transport. This readying plan does not allow for the structured l urch of expected skills and knowledge nor does it allow for a baseline competency to be present before universe promoted from CM2 to urinate party knob. The topical process was put into place to bear on the increased demand for runging experience by the follow during a rapid product period where eight bases turned into cardinal in four years. This current process put into place at this judgment of conviction did allow for rapid streamlined cooking of new staff but it failed to impress into account quality over quantity. This new process has resulted in CM2s being promoted to the level of a combination foreman without the necessary knowledge that is expected of this role as determined by the management. coating State tout ensemble crew members at CM2 positioning go by a structured crew important preparedness broadcast. This instruction impart allow for the communicate communication of consistent, well-structured necessary skills and knowledge. A well-structur ed dressing program allow for assure that all flight crew who obtain crew main(prenominal) status will sacrifice obtained the comparable base of knowledge and will have all demonstrated the same level of craved competence. Learner Analysisdemographic InformationThe instructional setting is mainly on the job reading tuition gained finished the start patient care transport environment via ground, rotor or fixed wing aircraft. haves and paramedics work as partners in patient transport. This team pattern can be two nurses, or one nurse and one paramedic but at all propagation one team member moldiness be a nurse. The third gear psyche at the base is the pilot in command, who does not provide any patient care but does and can take to heart in aviation and safety procreation. These teams are on shift stationed at their charge base for a 24 arcminute period of time where planning by dint of simulations, reading, and discussions will lead during non-patient transport t imes. thither are 16 bases in the familiarity located in California, Texas and Oregon. There are 8 full time medical crew assigned to each base and an extra 2-3 part time staff at each base.Age of paramedics and nurses turn over from 27-61. English is native language spoken by all medical crew members. developmental levels in addition to memory an accredited paramedic license or registered nurse license are ranging from familiar degree to doctorate. All Registered nurses in the condenser have received specialized fosterage in critical care, trauma and hold specialized certificates in these areas. All paramedics in this capacity have similarly obtained additional critical care related preparation and certificates. Both the nurses and the paramedics receiving the crew chief gentility have been employed with this company in the flight role for a token(prenominal) of 1 year and have obtained the CM2 status. The content area is focused on pentad areas to include aviation, safety, communications, navigation, and critical thinking. All medical crew have obtained the basic level of training in these areas have been deemed CM2 which puts them at pundit status which deems them competent to safely complete patient transports. The crew chief level of training is aimed at convey crewmembers from amateur to salutary level. preceding KnowledgePrior knowledge of all who will receive the crew chief training are those who are at the current CM2 level. They have been work in the capacity as flight nurses or flight paramedics at this company for a minimum of 1 year and have been on at least 75 patient transports. 25% of the total crew members have prior experience functional as Flight Nurses or Flight Paramedics at another company 10% of the flight paramedics have prior flight crew experience through the legions prior to coming to this company. Those crew members who arrive atd crew chief status per the current computer simulation will be given a baseline written assessment and go through a crew chief QAB. Those who pass these two items will go forward at the status of crew chief and those who do not pass these assessments will complete a out-of-pockett crew chief training program, focusing on those areas of the training they did not pass during their assessments. A written assessment and QAB will be repeated at the conclusion of the bridge training. All crew members surveyed have demonstrable feedback regarding this proposed process. Entry Skills RequiredEntry level skills required to the crew chief training is to be a CM2 and to have successfully passed the CM2 questions answer board. Successful completion of CM2 training demonstrates successful objectives completed as tell in the CM2 training. In addition to CM2 status all crew members must have obtained a national witness. National certifications the nurses may obtain are critical care registered nurse (CCRN), care flight critical nurse (CFRN), or certified emergency nur se (CEN). These are each a 100-150 questions tests that are scheduled to be interpreted at independent test centers as determined by the certifying agencies. The CM2 must overly be in good stand with the company meaning no disciplinal actions in the crew members personal send in the previous six months. Attitudes and pauperismThe majority of the flight nurses and flight paramedics are very holdn intense lot with a high desire to obtain the crew chief status. Primary motive comes from the desire to obtain the claim status of crew chief and the increased knuckle under rate of 5% per hour. Secondary motivation is the drive that comes from internal motivation to achieve additional training toreach nice level knowledge in this field. Current attitudes towards training are positive with an irresistibly stated desire to have a more structured training program with higher standards and rigor needed to scram a crew chief. insensibled on the annual employee survey one of the in dicators as stated by employees to improve team spirit is for a more structured and rigid crew chief training program. rummy Characteristics and Learning StylesThe majority (70%) of the prentices described themselves as learning best through doing. Those who stated they learn better through active and learning state reading, watching or hearing the learning material is helpful if they can then have additional hands-on training through simulations or travel on on-the-job situational experiences. Another 40% of learners said they were not sure how they erudite best but felt having approach path to the material in writing or reading to be studied was very helpful. All learners wanted tangible resources purchasable such as protocols, standard run procedures, drug calculators, and other tools that could be obtained through electronic means such as their phones or IPADS to be accessed as needed during simulated training and live patient transports. According to Kolbs self-aggr andising Learning Styles bigs have four distinct ways of preferable ways for examining, analyzing and integrating new knowledge. intersection (doing and thinking), diverging (feeling and watching), Assimilating (watching and thinking) and Accommodating (doing and feeling).In the VARK regulate Neil D Fleming described the primitive ways adults acquire new knowledge the preferred learning styles. In this VARK model 41% are kinesthetic learners, 16% visual, 25% auditory and 18% readers. ring member feedback of preferred learning styles and research establish evidence regarding preferred adult learning styles appear to correlate. This will allow support from management to build a new crew chief training program that will be based in the delivery methods that will allow consumption of material to be presented through the desired learning styles of adult learners. droll characteristics of this group of learners is their collective attitudes and internal drive to desire a more rig orous and structured training program with an ingrained minority of the crew members desiring to hold title of crew chief without demonstration of knowledge and skills required. It will beimportant to build a training program that accommodates all of the stated learning styles so as to use the crew members desire for the training to have a product that matches in quality and desired outcome of trainees. AccommodationsAccording to Gregg, Talbert and Lentz (1999),An appropriately selected instructional accommodations not only provides equal sensory faculty to learning opportunities but also minimizes the learners likelihood of failure. Appropriate educational accommodations are determined by taking into account the adults fantastic leaning needs. All crew members have demonstrated a prerequisite knowledge required to begin this training through successful completion of the CM2 training. All learners are primary English language learners without corporal disabilities as this is a requirement to obtain the role of flight nurse or flight paramedic in this company. The accommodations that should be considered for this training program is one that utilizes all learning styles to ensure the best realizable success by all those commencement exercise the training program. Performance Contextmanagerial SupportLearners can expect full organizational support in the training process. One of the top goals of the organization as identified in their Strengthen from inside Plan is to re-build and strengthen a training strategy that will allow for employees to have a structured, well planned out, govern training program. Employees have overwhelmingly diffused concern in the area of clinical training with regards to the crew chief training in the annual employee survey and through the Best of Practice Suggestion Forum. anxiety has acknowledged the priority of a structured crew chief training process lost priority in upstart years stating it has been likely to the rapid suppuration experienced by the company in the last 5 years and with this comes a need to recruit employees bring them to novice status in order to staff new bases.This has caused an oversight in beef up crew chief training which brings employees to that of full level in the field. Management has also acknowledged that current process that was put into place approximately 6 years ago which brings a CM2 to crew chief status via a CM2 completing 75 patient transports and obtaining a nationalcertification has fallen short of hopes and expectations for this modality of crew chief training. All management are in agreement a more structured training program is needed. All would agree that the skills erudite through a structured crew chief training program bring medical flight crew members from a novice to an expert level which translates to higher-ranking patient care, superior customer service, which lead to strengthening of the company as a whole. Physical Aspects of the turn upTh e crew chief training takes skills learned by flight crew members during their CM2 training program and adds depth, strengthens critical thinking and riddle solving processes and brings a CM2 at novice level up to crew chief which is considered expert level. This training will take place while the crew member is on shift. Training will occur via reading material, videos, discussion with preceptor, clinical manager and base manager, scenarios through case studies and live demonstration during patient transport. The CM2 will be required to complete a written test and sit on a QAB at the end of the crew chief training Process. All required training materials and equipment will be available at each of the 16 bases in the company. Base managers and clinical managers will work with the preceptors to assure all materials and equipment will be unploughed at each base, kept current with what is being used in live environment and kept in working order. Social Aspects of the SiteIn the move ment setting, medical crew members work in teams. The teams always consist of two nurses, or one nurse and one paramedic. The third team member is the pilot who are not involved flat in the patient care. Medical crew members work in teams independent of direct inspection of a supervisor. Supervisors such as clinical managers, base managers and a medical director are always available by phone 24 hours a day 7 days a hebdomad as needed by the medical crews. The skills obtained in the Crew Chief training will not be being utilized by the medical crews for the start-off time. Many of these skills learned will have already been used by the crew members in the crew chief training as much of the training had already been presented to somewhat degree during the CM2 training.It is possible that some patient care skills learned by CM2 and again as crew chiefs will have onlybeen completed on mannequins in simulations and not on live patients until that patient condition presents itself. Th ese skills are referred to as infrequently used skills and are beneficial routinely by all medical crew members in the company. Those receiving initial first off time skills and knowledge in their role are the crew member 1 (CM1) team members who are gaining the on-the-job training needed to achieve CM2 status. In these instances a CM1 is always assigned into a work partnership with another crew member who is at least at the CM2 status. relevance of Skills to WorkplaceAll skills learned in the training will relate directly to all skills utilized in the veridical workplace. There are not current perceived physical, social or motivational constraints. Crew members are highly cause to have structured crew chief training due to the relationship between skills learned and skills used in work environment. High motivation also exists due to the desired status achievement of crew chief and due to the increased fiscal stipend received.ReferencesFleming, N.D. and Mills, C. (1992), Not A nother Inventory, earlier a Catalyst for Reflection, To Improve the Academy, Vol. 11, 1992., rapscallion 137. Flight Nurse Training. (n.d.). Flight Nurse Training. Retrieved may 8, 2014, from http//www.flightnursetraining.com Suggested Considerations Regarding Accommodations. (1999, January 1). Suggested Considerations Regarding Accommodations. Retrieved May 8, 2014, from http//kairos.technorhetoric.net/7.1/coverweb/grover_hendricks/accommodations.htm Wikipedia, the free encyclopedia. (n.d.). . Retrieved May 8, 2014, from http//en.wikipedia.org/wiki/Main_Page Workplace Training and Education Adult Learning Styles. (2013, January 1). Workplace Training and Education Adult Learning Styles. Retrieved May 8, 2014, from http//tribehr.com/blog/workplace-training-and-education-adult-learning-styles/