2015 CPR / Resuscitation Skills EMERGENCY MEDICAL SERVICES

Transcription

1 2015 CPR / Resuscitation Skills EMERGENCY MEDICAL SERVICES SKILL CHECKLIST Cardiac Arrest NAME PRINT NAME EMS # DATE 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. PPE / SAFETY (must demonstrate) Gloves 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 DEFIB TECHNICIAN Pulse Check (only after 2 nd 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 ***ANALYZE AS SOON AS AED APPLIED***(minimum of 30 compressions) Shock Advised Shock (no pulse check) 2 Minutes of CPR 2 mins. (post-shock) Changes compressor No Shock Advised 2 mins. of CPR Changes compressor Pulse Check < 10 sec. (only after 2 nd 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 PASS YES NO PRINT EVALUATOR NAME EVALUATOR SIGNATURE EMS #

2 NAME BLS 2015 ENDOCRINE EMERGENCIES EMERGENCY MEDICAL SERVICES PRINT STUDENT S NAME ID # SKILLS CHECKLIST FOR RECERTIFICATION 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 INITIAL ASSESSMENT (must verbalize) Mental Status C-Spine Bleeding SUBJECTIVE (FOCUSED HISTORY) ABC s Skin Signs Chief complaint Establishes rapport with patient (reassures and calms) obtains consent to treat (implied/actual) OBJECTIVE (PHYSICAL EXAM) Baseline Vital Signs (With Temp) Medical Exam Trauma Exam DCAP/BTLS ASSESSMENT (IMPRESSION) Must Verbalize Impression PLAN (TREATMENT) Immediate Life Threats Proper Therapy Pulse Ox/Glucometry Positioning Patient CRITICAL FAIL Safety Precautions/Scene Safety ABC s Appropriately provide treatment of shock COMMUNICATION AND DOCUMENTATION Delivers timely and effective short report (if indicated) Completes SOAP narrative portion of incident response form EVALUATOR SIGN YOUR NAME Obvious Trauma Body Position Breathing SAMPLE/OPQRST Time of onset HEENT Lung Sounds Neck Veins Fast Exam ALS If Indicated: Why ID Consider IOS Steps To Prevent Heat Loss Ongoing Assessment Reports At Patient s Side SICK NOT SICK Medications Medical Hx Additional Resources Palpated CMS/Swelling 2 nd Set Of Vitals Administer O 2 Appropriate Rate And Delivery Need For ALS MEETS STANDARDS (RECERT) 2 nd ATTEMPT IF NO EXPLAIN BLS 2015 Endocrine Emergencies Student Name Meets Standards Yes / No Date: Written Score (online / other)

3

4 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 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 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 and WAC (It is advised that the above WACs are reviewed to assure compliance with Washington State law.) MEETS STANDARDS (RECERT) 2 nd ATTEMPT YES IF NO EXPLAIN EVALUATOR SIGN YOUR NAME ID # c

5 BLS-2015 Intramuscular Epinephrine Injection EMERGENCY MEDICAL SERVICES NAME PRINT STUDENT S NAME EMS # SKILLS CHECKLIST FOR RECERTIFICATION DATE Objective: Given a partner, the EMT will demonstrate competency in administering epinephrine intramuscularly. SIX RIGHTS OF DRUG ADMINISTRATION 1.Right Person 3.Right Drug 5.Right Dose 2.Right Time 4.Right Route 6.Right Documentation MEETS CRITERIA Trigger: Food allergy Insect sting Drug allergy PREPS SYRINGE AND PATIENT Confirms 1:1000 Epinephrine Injection USP Expiration date Contents not cloudy or colored VERIFY DOSAGE Symptoms: Respiratory distress and/or oral swelling Hypotension Hives (diffuse and progressive) Prepares Patient Clean injection site (lateral thigh) Alcohol wipe Draw up dose: Adult = 0.3 mg Pediatric (<66 lbs) = 0.15 mg Verifies with EMT partner: proper medication; proper dosage INJECT PATIENT Insert needle: 90 degree angle Retract plunger and check for blood return Smoothly push plunger and inject medication ATTEND TO PATIENT Reassure patient Monitor for: Response Side effects Provide oxygen Continue to provide as needed Ventilate if necessary COMMUNICATION Delivers timely and effective short report (if indicated) Completes SOAP narrative portion of incident response form Remove needle and syringe Engage needle safety device on syringe Massage injection site for 10 seconds Monitor and document every 3-5 minutes Update medics on: Patient status Response to injection Document on MIRF Date Dose Time Location Patient response MEETS STANDARDS (RECERT) 2 nd ATTEMPT EVALUATOR SIGN YOUR NAME ID # IF NO EXPLAIN BLS 2015 Intramuscular Epinephrine Injection Student Name Meets Standards Yes / No Date: Written Score (online / other)

6

7 NAME BLS 2015 NEUROLOGICAL EMERGENCIES EMERGENCY MEDICAL SERVICES PRINT STUDENT S NAME ID # SKILLS CHECKLIST FOR RECERTIFICATION DATE Objective: Given a partner the EMT will demonstrate his/her competency in dealing with proper assessment and the treatment of the Neurological patient as outlined in BLS-2015-Neurologic/Stroke Emergencies and EMT Patient Care Guidelines. SCENE SIZE-UP (must verbalize) Safety Precautions (BSI) Scene Safety MOI/NOI Number of Patients INITIAL ASSESSMENT (must verbalize) Mental Status C-Spine Bleeding SUBJECTIVE (FOCUSED HISTORY) ABC s Skin Signs Chief complaint Establishes rapport with patient (reassures and calms) obtains consent to treat (implied/actual) OBJECTIVE (PHYSICAL EXAM) Baseline Vital Signs (With Temp) Medical Exam Trauma Exam DCAP/BTLS ASSESSMENT (IMPRESSION) Must Verbalize Impression PLAN (TREATMENT) Immediate Life Threats Proper Therapy Pulse Ox/Glucometry Positioning Patient CRITICAL FAIL Safety Precautions/Scene Safety ABC s Appropriately provide treatment of shock COMMUNICATION AND DOCUMENTATION Delivers timely and effective short report (if indicated) Completes SOAP narrative portion of incident response form EVALUATOR SIGN YOUR NAME Obvious Trauma Body Position Breathing SAMPLE/OPQRST Time of onset HEENT Lung Sounds Neck Veins Fast Exam ALS If Indicated: Why ID Consider IOS Steps To Prevent Heat Loss Ongoing Assessment Reports At Patient s Side SICK NOT SICK Medications Medical Hx Additional Resources Palpated CMS/Swelling 2 nd Set Of Vitals Administer O 2 Appropriate Rate And Delivery Need For ALS MEETS STANDARDS (RECERT) 2 nd ATTEMPT IF NO EXPLAIN BLS 2015 Neurological Emergencies Student Name Meets Standards Yes / No Date: Written Score (online / other)

8 BLS 2015 CARDIOVASCULAR EMERGENCIES EMERGENCY MEDICAL SERVICES NAME PRINT STUDENT S NAME ID # SKILLS CHECKLIST FOR RECERTIFICATION DATE Objective: Given a partner the EMT will demonstrate his/her competency in dealing with proper assessment and the treatment of the Cardiovascular patient as outlined in BLS-2015-Cardiovascular Emergencies and EMT Patient Care Guidelines. SCENE SIZE-UP (must verbalize) Safety Precautions (BSI) Scene Safety MOI/NOI Number of Patients INITIAL ASSESSMENT (must verbalize) Mental Status C-Spine Bleeding SUBJECTIVE (FOCUSED HISTORY) ABC s Skin Signs Chief complaint Establishes rapport with patient (reassures and calms) obtains consent to treat (implied/actual) OBJECTIVE (PHYSICAL EXAM) Baseline Vital Signs (With Temp) Medical Exam Trauma Exam DCAP/BTLS ASSESSMENT (IMPRESSION) Must Verbalize Impression PLAN (TREATMENT) Immediate Life Threats Proper Therapy Pulse Ox/Glucometry Positioning Patient CRITICAL FAIL Safety Precautions/Scene Safety ABC s Appropriately provide treatment of shock COMMUNICATION AND DOCUMENTATION Delivers timely and effective short report (if indicated) Completes SOAP narrative portion of incident response form EVALUATOR SIGN YOUR NAME Obvious Trauma Body Position SAMPLE/OPQRST Time of onset HEENT Lung Sounds Neck Veins ALS If Indicated: Why ID Consider IOS Steps To Prevent Heat Loss Ongoing Assessment Reports At Patient s Side SICK NOT SICK Medications Medical Hx Additional Resources Palpated CMS/Swelling 2 nd Set Of Vitals Administer O 2 Appropriate Rate And Delivery Need For ALS MEETS STANDARDS (RECERT) 2 nd ATTEMPT IF NO EXPLAIN BLS 2015 Cardiovascular Medicine Student Name Meets Standards Yes / No Date: Written Score (online / other)

9

10

11

12

13