Los Angeles County, California



-228600-12065000NAME ____________________________DATE _____/_____/_____SKILL PERFORMANCE EVALUATIONPATIENT ASSESSMENT & MANAGEMENT - TRAUMAPERFORMANCE OBJECTIVESDemonstrate competency in performing a complete trauma assessment involving scene size-up, primary assessment, secondary assessment, physical examination, ongoing assessment, and perform life-threatening interventions as necessary. Assessment and management of life-threatening interventions must be completed within 10 minutes.EQUIPMENTLive model or manikin, oxygen tank with flow meter, oxygen tubing, BMV device, oxygen mask, nasal cannula, stethoscope, blood pressure cuff, pen light, timing device, clipboard, pen, goggles, masks, gown, gloves, trauma bag, airway bag, SMR equipment, trauma bag, airway bag.SCENARIO: Trauma ___________________________________________________________________________332232052070Fail00Fail271272044450Pass00PassEXAMINER(S):______________________Attempt:1st2nd3rd (final)PREPARATIONPerformance CriteriaYESNOCommentsEstablishes appropriate BSI precautionsSCENE SIZE-UPPerformance CriteriaYESNOCommentsAssesses scene: Personnel/patient safetyEnvironmental hazardsNumber of patientsMechanism of injuryDetermines the need for:Additional resourcesSpecialized equipmentAdditional BSISMRPRIMARY ASSESSMENTPerformance CriteriaYESNOCommentsFormulates a general impression of the patientStableScenario dependentUnstableEstablishes patient rapport:Introduces self to patient and/or familyDetermines preliminarychief complaintObtains permission to treatAssesses the mental status/stimulus response (AVPU)AlertVerbalPainful (noxious)UnresponsiveIF UNRESPONSIVE GO TO CPR AND AED SKILLSPerformance CriteriaYESNOCommentsExplains the care being delivered to the patientAssesses the airway PatentScenario dependentObstructedManages the airway and life-threatening situationsOpens/clears the airwayScenario dependentInserts an airway adjunct – if indicatedTransports immediately – if unable to open the airwayDetermine if the airway is manageable vs, unmanageableAssesses the breathingRateScenario dependentRhythmQualityDepthPerforms rapid chest auscultation – if difficulty breathing, shortness of breath, or chest trauma Manages the breathing Applies oxygen – if indicatedScenario dependentPPV – if indicatedTransports immediately– if unable to manage the airwayState the indications for immediate high-flow oxygen administration:Respiratory ArrestCardiac ArrestShock/Poor PerfusionAnaphylaxisTraumatic Brain InjuryCarbon Monoxide PoisoningSuspected PneumothoraxAssesses the circulation (COPS)Capillary refillObvious external bleedingPulse- Too fast, slow, or absentSkin – Color, temperature, and moistureManages circulation and life threatening situations:Places the patient in supine position if hypo-perfusion is suspectedScenario dependentControls external bleedingTransports immediately– if unable to manage the airwayObserves for deformities and disabilitiesNeurologic deficitsScenario dependentAbnormal body presentationExposes and visualizes the area associated with the preliminary chief complaintPerformance CriteriaYESNOCommentsForms a field impressionManages life threatening situationsScenario dependentIf ALOC; obtains blood sugarDetermines the appropriate transport decision:Level -ALS/BLSScenario dependentMode - Ground/AirDestination – Appropriate facilitySECONDARY ASSESSMENTPerformance CriteriaYESNOCommentsAssess the current chief complaint of the patient:Signs/SymptomsAllergiesMedicationsPertinent historyLast oral intakeEvent leading up to the injuryVerbalizes the appropriate level of assessment Rapid trauma examScenario dependentFocused trauma exam of individual body partPerforms detailed head to toe exam of each body region and assess DCAP/BTLS TICHeadHave the students list each of the body regions Have the students list the components of DCAP BTLS TICNeckChestExam Breath soundsAbdomenPelvisLower extremitiesUpper extremitiesBackVisualizes for:DeformityContusionsAbrasionsPenetrations/PuncturesBurns/BruisesTendernessLacerationsSwelling/ScarsPalpates for:TendernessInstabilityCrepitusPerformance CriteriaYESNOCommentsAssesses the vital signs:Blood Pressure (S/D)PulseRespirationsSkin SignsPain ScaleSpO2 readingExamines neurological status:Determines the comprehensive orientation level (person, place, time, or eventGCS (eyes, verbal, motor)PupilsPerform glucose check - if indicatedScenario dependent if ALOCRe-evaluates the transport decisionDetermines the “Provider Impression”Have pre-determined scenario and their PIsDeveloped 1/08: Revised 11/2018 ................
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