NREMT Use Only DYNAMIC CARDIOLOGY Candidate: Examiner ...
National Registry of Emergency Medical Technicians Advanced Level Psychomotor Examination
DYNAMIC CARDIOLOGY
_______ ____
Attempt P/F
NREMT Use Only
Candidate:___________________________________________ Examiner:_______________________________________
Date:________________________________________________ Signature:______________________________________
SET #________________ Actual Time Started:_________
* NOTE: BLOCKS WITH HAVE CORRESPONDING CRITICAL CRITERIA
Underlined item require proper diagnosis or treatment of at least two rhythms and may have corresponding critical criteria
Possible Points
Takes or verbalizes appropriate PPE precautions
1*
Checks patient responsiveness
1
Checks ABCs [responsive patient] ? or ? checks breathing and pulse [unresponsive patient]
1
Initiates CPR if appropriate [verbally]
1*
Attaches ECG monitor in a timely fashion or applies paddles for "Quick Look"
1
Correctly diagnoses initial rhythm
Document Initial Rhythm:_____________________
1
Appropriately manages initial rhythm
1
Notes change in rhythm
1
Checks patient condition to include pulse and, if appropriate, BP
1
Correctly diagnoses second rhythm
Document Second Rhythm:_____________________
1
Appropriately manages second rhythm
1
Notes change in rhythm
1
Checks patient condition to include pulse and, if appropriate, BP
1
Correctly diagnoses third rhythm Appropriately manages third rhythm
Document Third Rhythm:_____________________
1
1
Notes change in rhythm
1
Checks patient condition to include pulse and, if appropriate, BP
1
Correctly diagnoses fourth rhythm
Document Fourth Rhythm:_____________________
1
Appropriately manages fourth rhythm
1
Orders high concentration of supplemental oxygen at proper times Actual Time Ended: __________ Elapsed Time: __________ Maximum 8 minutes
1 TOTAL 20
Points Awarded
CRITICAL CRITERIA _____ Failure to take or verbalize proper PPE precautions _____ Failure to order initiation or resumption of CPR when appropriate _____ Failure to verify rhythm before delivering each shock _____ Failure to ensure the safety of self and others _____ Inability to deliver shock _____ Failure to demonstrate acceptable shock sequence _____ Failure to order correct management of airway or administer oxygen when appropriate _____ Failure to diagnose or manage 2 or more rhythms correctly _____ Failure to correctly diagnose or adequately treat v-fib, v-tach, asystole, or pulseless electrical activity _____ Exhibits unacceptable affect _____ Uses or orders a dangerous or inappropriate intervention You must factually document your rationale for checking any of the above critical items on the reverse side of this form.
My signature above affirms that, to the best of my knowledge, this candidate was evaluated without conflict of interest or bias in accordance with NREMT policies and that his/her performance has been documented accurately.
? 2018 National Registry of Emergency Medical Technicians, Inc., Columbus, OH All materials subject to this copyright may be photocopied for the non-commercial purpose of educational or scientific advancement.
p306/05-18
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