Please note: the ECA Preceptorship Process is still a pilot within the ICLM trial

Team OO Shift - ECA Preceptorship Progress check

Use the form below to complete your documentation for your Team OO Shift & end of preceptorship progress check

Please complete the form below to record your progress

Please check you have a confirmation msg on screen after you click submit to say your submission has gone through. You should also receive a confirmation email to your SWASFT address.
ECA Name(Required)
ECA SWAST email address(Required)
*Operations Officer * SWAST email address(Required)
Please choose the correct ROC office for your area *ROC will only receive notification of completion & your identifying details.
This can be found on your ID and payslip
County(Required)

ECA section

End of Preceptorship Confidence Levels

Use this section to record three areas of practice you may be feeling less confident in. Try to make it as specific as possible. For example, this may be "kit familiarisation" OR “awareness of non-clinical roles within the ambulance setting" OR or "navigating" OR "doing observations". Plot your current confidence levels in comparison with the the start of your Preceptorship and measure how they improve over time.
Confidence level(Required)
1 = Not confident - 5 = Very confident
Confidence level(Required)
1 = Not confident - 5 = Very confident

General / Overall confidence level

Confidence level(Required)
1 = Not confident - 5 = Very confident

ECA comments

Please feel free to tell us how you found your preceptorship & anything else you'd like to add.

Team OO ONLY

Please provider feedback on the ECA's Team OO Shift

Operations Officers only - complete all sections to show submit button

*TEAM OO ONLY* Sign Off(Required)
* A copy of this form will be sent to ROC, the Preceptorship Lead and the OO named above.
Further Documentation for completion by Team OO(Required)
Data Protection agreement(Required)
Your data will not be transferred outside the EU without your consent. Your data is held in the UK. Your data will only be used for the purposes of application & contacting you in regard to courses or modules you have applied for explicitly. You have the right to ask for the amendment & deletion of your data. (Personal data will be deleted from the website on a regular basis. If you are a Trust member of staff your data may be transfered onto Trust databases & held in accordance with Trust polices for the purpose of recording your Education & Development, & also used in an anonymous form to record uptake of CPD by area & staff group.