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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