2015 HP-CPR Checklist - EMS Online
2015 CPR / Resuscitation Skills
EMERGENCY MEDICAL SERVICES
SKILL CHECKLIST Cardiac Arrest
NAME
PRINT NAME
DATE
EMS #
Objective: Given a multi-person company, BLS/ALS equipment and manikin: demonstrate assessment and treatment for Cardiac Arrest as outlined in current Standing Orders for the Treatment of Cardiac Arrest. *Consider including ALS in this drill.
Gloves
PPE / SAFETY (must demonstrate) Eye Protection Respiratory Protection (as needed)
AED Safety
(CAB APPROACH) COMPRESSION PERSON(S)
Confirm: uncon./unresp.
Pulse Check
(no more than 10 sec.)
Verbally counts compressions
Airway/Breathing
Remove patient to open area Remove clothing to start
Immediately begins chest compressions with rate of at least 100 per minute
Completes 30 compressions of CPR before first analysis
Resume CC immediately after Analysis / Shock
Pulse Check (only after 2nd Analysis with a No Shock)
Switches w/o pause every 2 minutes
Proper hand placement
Compress chest at least 2 inches or 1/3 A.P. height
Allow complete recoil between compressions
DEFIB TECHNICIAN
***ANALYZE AS SOON AS AED APPLIED***(minimum of 30 compressions)
Shock Advised Shock ? (no pulse check) 2 Minutes of CPR Analyze @ 2 mins. (post-shock) Changes compressor
No Shock Advised 2 mins. of CPR Changes compressor Pulse Check < 10 sec. (only after 2nd Analysis
with a No Shock)
2 Minutes of CPR
***FEMORAL PULSE CHECK WITH CPR***
VENTILATION PERSON
Give 2 breaths/30 comp. (unsecured airway) AND About 1 second/breath (achieves chest rise) Give 1 breath/10 comp (secured airway) AND About 1 second/breath (achieves chest rise)
TIME KEEPER
Tracks 2min. intervals Announces time at 1:45 Eliminates ALL unnecessary interruptions
CRITICAL FAIL CRITERIA All elements are CRITICAL FAIL CRITERIA
YES NO
PASS
PRINT EVALUATOR NAME
EVALUATOR SIGNATURE
EMS #
BLS 2015? Endocrine Emergencies Student Name ________________________________ Meets Standards Yes / No
BLS 2015 ? ENDOCRINE EMERGENCIES
EMERGENCY MEDICAL SERVICES
SKILLS CHECKLIST
FOR RECERTIFICATION
NAME
PRINT STUDENT'S NAME
ID #
DATE
Objective: Given a partner the EMT will demonstrate his/her competency in dealing with proper assessment and the treatment of the Diabetic patient outlined in BLS-2015-Endocrine Emergencies and EMT Patient Care Guidelines.
SCENE SIZE-UP (must verbalize)
Safety Precautions (BSI) Scene Safety
MOI/NOI Number of Patients
Additional Resources
INITIAL ASSESSMENT (must verbalize)
Mental Status C-Spine Bleeding
ABC's Skin Signs Chief complaint
Obvious Trauma Body Position Breathing
SICK NOT SICK
SUBJECTIVE (FOCUSED HISTORY)
Establishes rapport with patient (reassures and calms)
obtains consent to treat (implied/actual)
Chief Complaint SAMPLE/OPQRST Time of onset
Medications Medical Hx
OBJECTIVE (PHYSICAL EXAM)
Baseline Vital Signs (With Temp) Medical Exam Trauma Exam DCAP/BTLS
HEENT Lung Sounds Neck Veins Fast Exam
Palpated CMS/Swelling 2nd Set Of Vitals
ASSESSMENT (IMPRESSION)
Must Verbalize Impression
ALS If Indicated: Why
Date:___________Written Score ________ (online / other)
PLAN (TREATMENT)
Immediate Life Threats Proper Oxygen Therapy Pulse Ox/Glucometry Positioning Patient
CRITICAL FAIL
Safety Precautions/Scene Safety ABC's
Appropriately provide treatment of shock COMMUNICATION AND DOCUMENTATION
Consider IOS Steps To Prevent Heat Loss Ongoing Assessment Reports "At Patient's Side"
Administer O2 Appropriate Rate And Delivery Need For ALS
MEETS STANDARDS (RECERT)
Delivers timely and effective short report (if indicated)
Completes SOAP narrative portion of incident response form
EVALUATOR SIGN YOUR NAME
ID
YES
NO
2nd ATTEMPT
YES
NO
IF NO EXPLAIN
TIME Blood Pressure Pulse Rate Respiratory Rate Consciousness ECG Rhythm Oxygen Meds (Pulse Oximetry) (Glucometry)
Medications taken by patient at home
Narrative
Allergies Chief Complaint
?2014 Seattle/King County EMS
BLS 2015 ? Infectious Disease
EMERGENCY MEDICAL SERVICES
INFECTIOUS DISEASE
PROGRAM REVIEW
REQUIRED ANNUALLY FOR RECERTIFICATION
NAME
PRINT STUDENT'S NAME
ID #
DATE
Objective: To fulfill the requirements of WAC 296-305-0251 which states "All firefighter/EMTs shall be required to annually review the infectious disease information, updates, protocols, and equipment used in their department's infectious disease plan. Additional specific training requirements are outlined in WAC 296-82312005."
The BLS 2015-Infectious Disease course was completed and the "written" exam was completed with a score greater than 80%.
The person who conducted the required review of the department's infectious disease policy is an evaluator who has been through a CBT Workshop.
The evaluator acknowledges the department's infectious disease policies are current and has been reviewed and updated.
The review contained:
A general explanation of the epidemiology, symptoms and transmission of various infectious diseases. (covered in BLS 2015-Infectious Disease )
An explanation and review of the department's exposure control plan
Information and application of/about available personal protective equipment (PPE) using the MEGG approach to `donning' and `doffing'.
Information pertaining to the reporting of an exposure
Information about post exposure evaluation and follow-up procedures following an exposure incident (PEP)
This review fulfills the requirements set forth in WAC 296-305-0251 and WAC 296-823-12005 (It is advised that the above WACs are reviewed to assure compliance with Washington State law.)
MEETS STANDARDS (RECERT)
YES NO
2nd ATTEMPT YES
IF NO EXPLAIN
EVALUATOR SIGN YOUR NAME
ID #
?2014 Seattle/King County EMS c
BLS 2015 ? Intramuscular Epinephrine Injection Student Name _______________ _________ Meets Standards Yes / No Date:___________ Written Score ________ (online / other)
BLS-2015 ? Intramuscular Epinephrine Injection
EMERGENCY MEDICAL SERVICES
SKILLS CHECKLIST
FOR RECERTIFICATION
NAME
PRINT STUDENT'S NAME
EMS #
DATE
Objective: Given a partner, the EMT will demonstrate competency in administering epinephrine intramuscularly.
SIX RIGHTS OF DRUG ADMINISTRATION
1.Right Person 2.Right Time
3.Right Drug 4.Right Route
5.Right Dose 6.Right Documentation
MEETS CRITERIA
Trigger: Food allergy Insect sting Drug allergy
Symptoms: Respiratory distress and/or oral swelling Hypotension Hives (diffuse and progressive)
PREPS SYRINGE AND PATIENT
Confirms Meds 1:1000 Epinephrine Injection USP Expiration date Contents not cloudy or colored
Prepares Patient Clean injection site (lateral thigh) Alcohol wipe
VERIFY DOSAGE
Draw up dose:
Adult = 0.3 mg
Verifies with EMT partner: proper medication; proper dosage
INJECT PATIENT
Pediatric ( ................
................
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