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CITY OF DELRAY BEACH
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E_ViPLOYEE PERFORMANCE EVALUATION
PARAMEDIC
EMPLOYEE NAME: Jacob Peterson.
-
EMPLOYEE# '.' 736934
POSITION: Paramedic
1. QUALITY/JOB KNOWLEDGE:
-GRAtiE:: 223
IMPARTMENT: Fire SICK HOURS USED:..
0 :.. ---TARDIEST 0
REVIEW PERIOD: 09/08/.14'— 12108/14 TYPE:
ANNUAL ❑ PROBATIONARY ® 3 Months
NOTE: Pursuant to federal regulation, absences designated as FlyfLA leave are not to be relied upon in
assessing an employee's attendance/reliability, or in otherwise disciplining or counseling the employee.
PERFORMANCE FACTORS
CHECK ONE: Please provide comments for all six Performance
Factors.
1. QUALITY/JOB KNOWLEDGE:
®Meets Expectations ❑ Does Not Meet Expectations
Understands job requirements, demonstrates
required job skills and technical knowledge as
Comments: Jacob is learning something new every shift.
it relates to position. Work product is timely
and accurate.
2. JUDGMENT AND COMPLIANCE WITI3
NMeets Expectations ❑ Does Not Meet Expectations
POLICIES: Decision-making and problem -
solving abilities. Complies with rules, policies
Comments: Jacob is able to make a decision on calls and is
and procedures as described in the department
confident in that decision.
and Ci 's policies.
3. PRODUCTIVITY AND RELIABILITY:
®Meets Expectations ❑ Does Not Meet Expectations
Produces acceptable volume of work and meets
commitments. Does not use excessive sick
Comments: -Stays focused on keeping busy during his down time.
time excludes FMLA covered time).
CUSTOMER SERVICE: Ability to get along
®Meets Expectations ❑ Does Not Meet Expectations
with both internal and external customers.
Comments: Jacob carries a professional attitude with internal and
external customers.
5. SAFETY: Committed to working safely; uses
®Meets Expectations ❑ Does Not Meet Expectations
personal. safety equipment appropriately;
follows safety rules and regulations.
Comments: Follows all safety rules
6. INITIATIVE AND FLEXIBILITY: Self-
®Meets Expectations ❑ Does_ Not Meet Expectations
starting ability, resourcefulness, and creativity
as applied to the duties of the position. Open to
Comments: Takes initiative to learn new duties of his position.
change, new ideas and responsibilities.
Handles pressure and adjust plans to meet
changing needs.
DOES THE EMPLOYEES OVERALL
® YES ❑ NO
PERFORMANCE MEET EXPECTATIONS?
(Overall rating is `ANO" if employee received a total of 2 or more
" Does Not Meet Expectations" rating in any category).
Note: An employee whose overall performance "Does Not Meet Expectations" is not eligible for a merit increase and employee will be
placed on a Performance Improvement Plan follon-up evaluations conducted every (30) days.
Formulate with the employee his/her performance goals for the next rating period. State how often
you will review his/her progress and what training or assistance you will provide to . help this
employee reach his/her goals. The employee is responsible to schedule the review session with the
evaluator.
TO BE COMPLETED BY EMPLOYEE: Answer the following questions and return this form to your
supervisor.
MAJOR ACCOA11PLISHMENT(S): What performance goals have you achieved during this rating
period?
I have successfully treated and transferred a Stroke Alert, dealt with b fire situation including vehicle,
structure and brush fires. I have established a routine to effectively complete my daily station duties. I
have run multiple calls on 195, and treated several pediatric patients.
EhLPLOYEE DEVELOPMENT: What specific training or work assignments have you provided for
other employees to develop their knowledge and skills?
N/A
SUPPORT NEEDED: What type of guidance or other support do you need from your supervisor to
improve your performance during the next rating period?
So far my supervisors have done a great job in try to teach and mold me into a proficient and safe
firefighter. I would ask them to just continue giving me tips to improve my overall effectiveness.
SELF -DEVELOPMENT: What methods/programs/courses, etc. are you using to keep abreast of new
developments in your field?
I am continually reading my EMS protocols and department SOGs. I consistently get hands on with the
apparatus and equipment to become more prof ciew and skilled at this profession. I also continue to ask
questions because the crews I work with range in their experience levels and knowledge of fire and EMS
situations.
CITY OF DELRAYBEACH - EMPLOYEE PERFORMANCE EVALUATION
PARAMEDIC
EMPLOYEE: I have reviewed the evaluation and it has been discussed with me. I have been encouraged to make
comments. I understand that my signature does not imply agreement with the evaluation.
Employee Name (please=t')b Peterson
Employee's Signature -- - ----- -- Date: 11/27/2014
EMPLOYEE COMMENTS:
I can't say enough how much I have enjoyed wont here at DBFR so far. The crews I've come in contact with
have been very generous in passing along information they feel is important and that I need to know. The crew
at station 1 A shift has been and continues to assist in my learning process and development into a proficient
and safe firefighter paramedic. Overall all I love job and enjoy coming to work each day.
DISCUSSION ON FUTURE PERFORMANCE GOALS:
PRIORITY#1: Pass STEP Program
OBJECTIVE: Continue to learn DBFR EMS protocols
OBJECTIVE: Continue to learn and become familiar with DBFR fire ground operations
PRIORITY#2: Complete probation
OBJECTIVE: Pass 6 month and 1 year sign offs
OBJECTIVE: Complete all probationary fiLrefthter duties and res onsibilMes
EVALUATOR: I have discussed this performance evaluation with the employee.
Name (Printed Ilene Rose Title: Ca Iain
Signature: _ �% F L� 1 Date:
BATTALION CHIEF:
Name (Printed) 5 IG
Signature: Date:
ASSISTANT C 44r
Name (Printed) All L � I�
Signature: t 4= Date:
FIRE CHIEF: Co YJ r10 i
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