2018 EMR Skills Manual.pdf

NAME ____________________ RIO HONDO COLLEGE ¨ DEPARTMENT OF PUBLIC SAFETY ¨ FIRE TECHNOLOGY DIVISION FTEC 121 Emergency Response SKILLS MANUAL ¨ 2018 Edition

Patient Assessment & Management - Medical © 2017 (Skill Performance Evaluation) Page 1 of 2 NAME ____________________________ DATE _____/_____/_____ SKILL PERFORMANCE EVALUATION PATIENT ASSESSMENT & MANAGEMENT - PRIMARY ASSESSMENT PERFORMANCE OBJECTIVES Demonstrate competency in performing a complete medical 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. EQUIPMENT Live 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, airway bag. SCENARIO:  Medical ___________________________________________________________________________  Trauma ___________________________________________________________________________ EXAMINER(S): ______________________ Attempt: 1 st 2 nd 3 rd (final) Primary Assessment (Initial Assessment) Performance Criteria YES NO Comments Establishes appropriate BSI precautions SCENE SIZE-UP Performance Criteria YES NO Comments Assesses scene: Personnel/patient safety Environmental hazards Number of patients Nature of illness Determines the need for: Additional resources Specialized equipment Determines the need for additional BSI Formulates a general impression of the patient Stable Scenario dependent Unstable Establishes patient rapport: Introduces self to patient and/or family Determines preliminary Chief Complaint Obtains permission to treat Assesses mental status/stimulus response (AVPU) Alert Verbal Painful (noxious) Unresponsive Fail Pass

Patient Assessment & Management - Medical © 2017 (Skill Performance Evaluation) Page 2 of 2 IF UNRESPONSIVE GO TO CPR AND AED SKILLS Performance Criteria YES NO Comments Assesses the airway Patent Scenario dependent Obstructed Manages the airway Opens/clears the airway Scenario dependent Inserts an airway adjunct Determines if the airway is manageable vs. unmanageable Assesses the breathing Rate Rhythm Quality Depth Auscultates the lungs Manages the breathing Applies oxygen Scenario dependent PPV Assesses the circulation Pulse Skin Color Obvious external bleeding Capillary refill Manages the circulation Shock position Scenario dependent Manages life threatening situations Observes for deformities and disabilities Neurologic deficits Scenario dependent Abnormal body presentation Exposes and visualizes the area associated with the preliminary chief complaint Formulates and Identifies a field impression Manages life threatening situations Scenario dependent if ALOC If ALOC; obtains blood sugar Identifies that the patient is a “priority patient” Scenario dependent Verbalizes the appropriate transport decision: Level Scenario dependent Mode Destination

Patient Assessment & Management - Medical © 2017 (Skill Performance Evaluation) Page 1 of 4 NAME ____________________________ DATE _____/_____/_____ SKILL PERFORMANCE EVALUATION PATIENT ASSESSMENT & MANAGEMENT - MEDICAL PERFORMANCE OBJECTIVES Demonstrate competency in performing a complete medical 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. EQUIPMENT Live 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, airway bag. SCENARIO:  Medical ___________________________________________________________________________  Trauma ___________________________________________________________________________ EXAMINER(S): ______________________ Attempt: 1 st 2 nd 3 rd (final) Primary Assessment (Initial Assessment) Performance Criteria YES NO Comments Establishes appropriate BSI precautions SCENE SIZE-UP Performance Criteria YES NO Comments Assesses scene: Personnel/patient safety Environmental hazards Number of patients Nature of illness Determines the need for: Additional resources Specialized equipment Determines the need for additional BSI Formulates a general impression of the patient Stable Scenario dependent Unstable Establishes patient rapport: Introduces self to patient and/or family Determines preliminary Chief Complaint Obtains permission to treat Assesses mental status/stimulus response (AVPU) Alert Verbal Painful (noxious) Unresponsive Fail Pass

Patient Assessment & Management - Medical © 2017 (Skill Performance Evaluation) Page 2 of 4 IF UNRESPONSIVE GO TO CPR AND AED SKILLS Performance Criteria YES NO Comments Assesses the airway Patent Scenario dependent Obstructed Manages the airway Opens/clears the airway Scenario dependent Inserts an airway adjunct Determines if the airway is manageable vs. unmanageable Assesses the breathing Rate Rhythm Quality Depth Auscultates the lungs Manages the breathing Applies oxygen Scenario dependent PPV Assesses the circulation Pulse Skin Color Obvious external bleeding Capillary refill Manages the circulation Shock position Scenario dependent Manages life threatening situations Observes for deformities and disabilities Neurologic deficits Scenario dependent Abnormal body presentation Exposes and visualizes the area associated with the preliminary chief complaint Formulates and Identifies a field impression Manages life threatening situations Scenario dependent if ALOC If ALOC; obtains blood sugar Identifies that the patient is a “priority patient” Scenario dependent Verbalizes the appropriate transport decision: Level Scenario dependent Mode Destination Secondary Assessment Performance Criteria YES NO Comments Performs the appropriate level of assessment Rapid Trauma Scenario dependent Focused exam Assesses for DCAP/BTLS Visualizes for: Deformity Contusions Abrasions Penetrations/Punctures Burns/Bruises Tenderness

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