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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