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NREMT Cardiac Arrest management/AED with Bystander CPR in Progress Practical Skill Sheet |
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Start Time:
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1 | 1 |
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Stop Time:
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Date: | 1 |
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Candidate's Name:
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1 | 1 |
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Evaluator's Name:
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11 | 1 |
| Points Possible |
Points Awarded |
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ASSESSMENT
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1 | 1 |
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Takes, or verbalizes, body substance isolation precautions
I am wearing my gloves and appropriate BSI.
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1 | 1 |
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Briefly questions the rescuer about arrest events
Did anyone see him collapse? Does he have a heart condition?
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1 | 1 |
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Turns on AED power
I am turning on the AED.
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1 | 1 |
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Attaches AED to the patient
I am going to attach the AED to the patient. One electrode just below the right clavicle and the apex electrode just below and to the left of the left pectoral muscle.
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1 | 1 |
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Directs rescuer to stop CPR and ensures all individuals are clear of the patient
Stop CPR I am going to analyze his rhythm. Everyone move away from him and do not touch him until I tell you.
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1 | 1 |
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Initiates analysis of the rhythm
I am pressing the the analyze button on the AED
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1 | 1 |
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Delivers shock
If the AED indicates a shock I will press the shock button.
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1 | 1 |
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Directs resumption of CPR
I am resuming CPR at the proper rates and depths
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1 | 1 |
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TRANSITION
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1 | 1 |
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Gathers additional information about the arrest event
How long has he been unconscious? Do you know if he is taking any medications?
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1 | 1 |
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Confirms effectiveness of CPR (ventilation and compressions)
I am going to make sure the first responders are doing CPR effectively with the proper depths and rates of compressions and ventilations. 1.5 - 2 inches deep on compressions. About 100 a minute. Ventilations just enough to give adequate rise. 1 breath every 5-6 seconds.
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1 | 1 |
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INTEGRATION
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1 | 1 |
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Verbalizes or directs insertion of a simple airway adjunct (oral/nasal airway)
I am inserting a properly measured oral airway if the patient does not have a gag reflex
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1 | 1 |
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Ventilates, or directs ventilation of the patient
I am resuming ventilations
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1 | 1 |
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Assures high concentration of oxygen is delivered to the patient
I am making sure that high flow 02 is attached to the BVM and is delivered at 12-15 LPM
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1 | 1 |
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Assures adequate CPR continues without unnecessary/prolonged interruption
I am making sure that CPR is being performed correctly with minimal interuption
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1 | 1 |
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Continues CPR for 2 minutes
We will continue CPR for 2 minutes or approximately 5 cycles giving 10-12 ventilations per minute and 100 chest compressions per minute
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1 | 1 |
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Directs rescuer to stop CPR and ensures all individuals are clear of the patient
Stop CPR I am going to analyze his rhythm. Everyone move away from him and do not touch him until I tell you.
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1 | 1 |
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Initiates analysis of the rhythm
I am pushing the analyze button on the AED
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1 | 1 |
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Delivers shock
If the AED indicates that a shock is advised I will push the shock button
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1 | 1 |
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Directs resumption of CPR
Continue CPR at the proper rates and depths
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1 | 1 |
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TRANSPORTATION
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1 | 1 |
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Verbalizes transportation of the patient
Let's load him and go
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1 | 1 |
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Total
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20 | 1 |
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Critical Criteria
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1 | 1 |
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____Did not take, or verbalize, body substance isolation precautions
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1 | 1 |
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____ Did not evaluate the need for immediate use of the AED
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1 | 1 |
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____ Did not immediately direct initiation/resumption of CPR at appropriate times
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1 | 1 |
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____ Did not assure all individuals were clear of patient before delivering a shock
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1 | 1 |
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____ Did not operate the AED properly or safely (inability to deliver shock)
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1 | 1 |
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____ Prevented the defibrillator from delivering any shock
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1 | 1 |
| 1 | 1 | |