NREMT Patient Assessment / Management Trauma Skill Sheet |
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Start Time:
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Stop Time:
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1 | Date: | 1 | |||
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Candidate's Name:
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Evaluator's Name:
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1 | 11 | 1 | |||
| Move your mouse over the different steps. Respiratory only at this time. | These are EXAMPLES of questions and verbalizations. This is NOT a script. | Points Possible |
Points Awarded |
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SCENE SIZE-UP
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1 | 1 | 1 | |||
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| Determines the number of patients | 1 | 1 | 1 | |||
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INITIAL ASSESSMENT
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1 | 1 | 1 | |||
| 1 | 1 | 1 | ||||
| 1 | 1 | 1 | ||||
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Assessment
Indicates appropriate oxygen therapy Assures adequate ventilations and injury management |
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1 | ||||
| Assessment of circulation |
Assesses and controls major bleeding
Assesses pulse Assesses skin (color, temperature, and condition) |
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1 | |||
| 1 | 11 | 11 | ||||
| FOCUSED HISTORY AND PHYSICAL EXAMINATION/RAPID ASSESSMENT | ||||||
| Selects appropriate assessment (focused or rapid assessment) | ||||||
| 1 | 1 | |||||
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| 1 | 1 | 11 | ||||
| 1 | 1 | 11 | ||||
| 1 | 1 | 11 | ||||
| 1 | 1 | 11 | ||||
| 1 | 1 | 11 | ||||
| 1 | 1 | 11 | ||||
| Vitals (obtains baseline vital signs) | 1 | 1 | 1 | |||
| Interventions (obtains medical direction or verbalizes standing order for medication inverventions and verbalizes proper additional intervention/treatment) | 1 | 1 | 1 | |||
| Transport (re-evaluates the transport decision) | 1 | 1 | 1 | |||
| Verbalizes the consideration for completing a detailed physical examination | 1 | 1 | ||||
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ONGOING ASSESSMENT (verbalized)
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1Interactivity stops here | 1 | 11 | |||
| Repeats initial assessment | 1 | 1 | 1 | |||
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Repeats vital signs
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1 | 1 | 11 | |||
| Repeats focused assessment regarding patient complaint or injury | 1 | 1 | 1 | |||
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Total
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1 | 30 | 11 | |||
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Critical Criteria
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1 | 1 | 11 | |||
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____Did not take, or verbalize, body substance isolation precautions as necessary
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1 | 1 | 11 | |||
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____ Did not determine scene safety
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1 | 1 | 1 | |||
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____ Did not obtain medical direction or verbalize standing orders for medical interventions
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1 | 1 | 1 | |||
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____ Did not provide high concentration of oxygen
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1 | 1 | 1 | |||
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____ Did not find or manage problems associated with the airway, breathing, hemorrhage or shock (hypoperfusion)
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1 | 1 | 1 | |||
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____ Did not differentiate patient's need for transportation versus continued assessment at the scene
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1 | 1 | 1 | |||
| ____ Did detailed or focused history/physical examination before assessing the airway, breathing and circulation | 1 | 1 | 1 | |||
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____ Did not ask questions about the present illness
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1 | 1 | 1 | |||
| ____ Administered a dangerous or inappropriate intervention | 1 | 1 | 1 | |||
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