Firstly - just a polite reminder. You're new, you'll need time to settle in and find your feet. It will take time - so don't go worrying!


The AAP Practice Placement portfolio is the key to get you the Level 4 Diploma. Although you'll be collecting signatures, make sure you also collect evidence - PRFs (without patient details), photographs of training/CPD events, reflective documents etc. 


Even as a Student Paramedic, or current practising clinician it is important you keep a CPD record.


As I have said above. You're new - you will make mistakes, but you will learn from them and become a better ambulance clinician because of it. 

It takes time to feel confident. 


You will probably find all the clinical knowledge you have gained from training may vanish into thin air when you're faced with your first patient. But believe you me, your knowledge is up there - you just need to shake it out. 

The first ever patient assessment or the first time you gain a history will feel like the most confusing time of your life; because the patient will give you answers that are irrelevant or throw you off track. The hardest skill I have learned is to navigate your way through the patient's story - but also, with the patients who are not 'time-critical' or 'urgent' you can take your time. These are the patients that will enable you to master your history taking and enable you to get used to your skills.

The Do's and the Do Not's
  • Do remember to ask your crew-mate questions if you get stuck. 

  • Do remember that you will make mistakes, you'll feel like an idiot at times, but do remember the paramedic with 10 years experience was once in your shoes.

  • Do revise, go over your knowledge and to learn from incidents or jobs. 

  • Do remember to drink plenty of water - but also do remember to have regular toilet breaks!!

  • Do remember to pester people to sign your portfolio.

  • Do not fight with yourself if you make an error. Learn from it. 

  • Do not beat yourself up if you forget to connect the chest leads to the ECG. 

  • Do not beat yourself up if you forget to put something in your patient report form. 

  • Do not rush. Take your time. 

  • Do not put yourself down if you feel like you're going to give up. Do not give up! It is tough and if you get through those first few months of feeling rubbish - you will begin to enjoy it. 

  • Do not allow other people's bad practice to influence your own practice. 

  • Do not allow people to tell you how to drive, unless it is directions (or you'll get lost.) Remember it is your driving licence.

Good websites & pages to get involved with!


Press the arrow for End Assessments

(This page is useful to anyone, but mostly aimed at those going through the AAP.)