National Registry of Emergency Advanced Level Psychomotor ...
National Registry of Emergency Advanced Level Psychomotor Examination
STATIC CARDIOLOGY
_______ ____
Attempt P/F
NREMT Use Only
Candidate: __________________________________________Examiner: ________________________________________
Date: ______________________________________________Signature: ________________________________________ SET #________________
Examiner: Document the provided interpretation in the Scenario Interpretation Blocks. Document candidate's interpretation in Candidate's Interpretation Blocks. Document Treatment in Treatment Blocks
Actual Time Started:_________
STRIP #1
NOTE: ZERO POINTS ARE AWARDED FOR TREATMENT IF INTERPRETATION IS INCORRECT
Scenario Interpretation:
Candidate's Interpretation:
Possible Points
1
Points Awarded
Treatment:
2
STRIP #2
NOTE: ZERO POINTS ARE AWARDED FOR TREATMENT IF INTERPRETATION IS INCORRECT
Scenario Interpretation:
Candidate's Interpretation:
1
Treatment:
2
STRIP #3
NOTE: ZERO POINTS ARE AWARDED FOR TREATMENT IF INTERPRETATION IS INCORRECT
Scenario Interpretation:
Candidate's Interpretation:
1
Treatment:
2
STRIP #4
NOTE: ZERO POINTS ARE AWARDED FOR TREATMENT IF INTERPRETATION IS INCORRECT
Scenario Interpretation:
Candidate's Interpretation:
1
Treatment:
2
Actual Time Ended: __________ Elapsed Time: __________ Maximum 6 minutes
CRITICAL CRITERIA ____ Failure to correctly diagnose or adequately treat v-fib, v-tach, asystole, or pulseless electrical activity ____ Uses/orders a dangerous or inappropriate intervention
You must factually document your rationale for checking any of the above critical items on this form.
TOTAL
12
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.
p307/05-18
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