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1
CF Paramedic Program Lab Skills Book
Third Semester
Name: _______________________________ © 2014, McGinnes, Ramsey, Bledsoe, Gesner, Leinas, Reyes, Graves, Watts
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If found please call 352-291-4440 or return to College of Central Florida, Emergency Medical Services Program 3001 SW College Rd. Ocala, FL 34474 Thank You
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Table of Contents:
Skill PageAssess & Manage - Spinal Immob: Prone - Adult, Child, Infant 8 Assess & Manage - Spinal Immob: Semi-Prone - Adult, Child, Infant 9 Assess & Manage - Spinal Immob: Sitting (KED) 10 Assess & Manage - Spinal Immob: Standing - Adult, Pediatric 11 Assess & Manage - Spinal Immob: Supine - Adult, Pediatric 12 Assess & Manage - Traction Splint - Adult, Pediatric 13 Assess and Mgmt - Radiation Burns - Adult, Child and Infant 14 Assess and Mgmt - Thermal Burn - Adult, Child, Infant 15 Assess and Mgmt - Electrical Burn Injury - Adult, Child, Infant 16 Assess and Mgmt - Chemical Burn Injury - Adult, Child, Infant 17 Assess and Mgmt - Inhalation Burn Injury - Adult, Child, Infant 18 Helmet Removal Techniques 19 Donning and Properly Adjusting a Personal Flotation Device (PFD) 20 In-Water Spinal Immobilization Technique - Adult, Child, Infant 21 Assess and Mgmt - Thoracic Trauma - Adult, Child, Infant 22 Assess and Mgmt - Spinal Injury - Adult, Child, Infant 23 Assess and Mgmt - Altered Mental Status 24 Assess and Mgmt - Anaphylaxis 25 Assess and Mgmt - Communicable Disease 26 Assess and Mgmt - Diabetic Emergencies 27 Assess and Mgmt - GI Bleed 28 Assess and Mgmt - Abdominal Pain 29 Assess and Mgmt - Heat Emergencies 30 Assess and Mgmt - Neurological Status 31 Assess and Mgmt - Hematologic Disorders (Sickle Cell) 32 Assess and Mgmt - Seizures 33 Assess and Mgmt - HHNK 34 Assess and Mgmt - Snakebite (Envenomation) 35 Assess and Mgmt - Suspected Stroke 36 Assess and Mgmt - Syncope / Weakness 37 Head Injuries - Child, Infant 38 Chest Injuries - Child, Infant 40 Abdominal Injuries - Child, Infant 41 Extremitiy Injuries - Child, Infant 42 Contrived Experience Lab 44 Airway Management Log 88
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Third Semester Lab Objective Completion List
StudentName:____________________________________ Term:_____________________ (PLEASE PRINT)
Please submit your final lab notebook organized in the following order. Include a title page with tab for each unit. 1. Report Cover, with your name and course number on outside 2. Third Semester objective completion checklist (this sheet) 3. Third Semester Lab Skills Sheets (You MUST demonstrate competence in ALL skills and scenarios listed to receive a passing grade)
a. Trauma: i. Radiation Burn Injury _______ Demonstrated Competence
ii. Thermal Burn Injury _______ Demonstrated Competence iii. Electrical Burn Injury _______ Demonstrated Competence iv. Inhalation Burn Injury _______ Demonstrated Competence v. Chemical Burn Injury _______ Demonstrated Competence
vi. Stabalization of Helmet _______ Demonstrated Competence vii. Helmet Removal Techinques _______ Demonstrated Competence
viii. Spinal Immobilization, Supine _______ Demonstrated Competence ix. Spinal Immobilization, Sitting _______ Demonstrated Competence x. Spinal Immobilization, Semi-Prone _______ Demonstrated Competence
xi. Spinal Immobilization, Prone _______ Demonstrated Competence xii. Spinal Immobilization, Standing _______ Demonstrated Competence
xiii. Fixation, Soft and Traction Splints _______Demonstrated Competence xiv. In-Water Spinal Immobilization Techniques _______ Demonstrated Competence xv. Thoracic Trauma _______ Demonstrated Competence
xvi. Musculoskeletal Trauma _______ Demonstrated Competence xvii. Shock _______ Demonstrated Competence
xviii. Spinal Injuries, Traumatic & Nontraumatic _______ Demonstrated Competence xix. Head Injury, Pediatric _______ Demonstrated Competence xx. Chest Injury, Pediatric _______ Demonstrated Competence
xxi. Abdominal Injury, Pediatric _______ Demonstrated Competence xxii. Extremity injury, Pediatric _______ Demonstrated Competence
b. Medical: i. Asst and Mgmt of Altered Menal Status _______ Demonstrated Competence
ii. Asst and Mgmt of Anaphalaxis _______ Demonstrated Competence iii. Asst and Mgmt of Appendicitis _______ Demonstrated Competence iv. Asst and Mgmt of Communicable Disease _______ Demonstrated Competence v. Asst and Mgmt of Gastrointestinal Bleed _______ Demonstrated Competence
vi. Asst and Mgmt of Heat Emergencies _______ Demonstrated Competence vii. Asst and Mgmt of Hematologic Disorders _______ Demonstrated Competence
viii. Asst and Mgmt of HHNK _______ Demonstrated Competence ix. Asst and Mgmt of Insulin Shock _______ Demonstrated Competence x. Asst and Mgmt of Seizures _______ Demonstrated Competence
xi. Asst and Mgmt of Snakebite _______ Demonstrated Competence xii. Asst and Mgmt of Stroke _______ Demonstrated Competence
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c. Pediatrics: i. FBOA - Child Conscious (PALS) _______ Demonstrated Competence
ii. FBOA- Child Unconscious(PALS) _______ Demonstrated Competence iii. FBOA - Infant (PALS) _______ Demonstrated Competence iv. Asst and Mgmt of Peds Resp arrest (PALS) _______ Demonstrated Competence v. Asst and Mgmt of Peds Resp failure (PALS) _______ Demonstrated Competence
vi. Intubation of Newborns/complications (PALS) _______ Demonstrated Competence vii. Measuring Peds Vitals (PALS) _______ Demonstrated Competence
viii. Length Based resuscitation tape (PALS) _______ Demonstrated Competence ix. Asst and Mgmt of Peds Resp distress (PALS) _______ Demonstrated Competence x. Intraosseous line for infants and children (PALS) _______ Demonstrated Competence
xi. Suctioning of infants and children (PALS) _______ Demonstrated Competence xii. Vascular access for infants and Children (PALS) _______ Demonstrated Competence
d. Special Operations: i. Stokes Basket: (Stokes and Ropes) _______ Demonstrated Competence
ii. Donning a PFD: (Water rescue) _______ Demonstrated Competence iii. In-Water Immob Techniques: (Water rescue) _______ Demonstrated Competence iv. ICS and MCI: (MCI training day) _______ Demonstrated Competence
e. Behavioral: i. Behavioral Emergencies: (DTAK) _______ Demonstrated Competence
ii. Contact and Cover: (DTAK) _______ Demonstrated Competence iii. Evasive Tactics: (DTAK) _______ Demonstrated Competence
All Completed = 100. One or more not completed = 0. Skills Score: _______ This score is 24% of your grade ____/24%
f. Contrived Experience Lab: 1. Scenario: Smith Score: ___/100%
2. Scenario: Johnson Score: ___/100%
3. Scenario: Williams Score: ___/100%
4. Scenario: Jones Score: ___/100%
5. Scenario: Brown Score: ___/100%
6. Scenario: Davis Score: ___/100%
7. Scenario: Miller Score: ___/100%
8. Scenario: Wilson Score: ___/100%
9. Scenario: Moore Score: ___/100%
10. Scenario: Taylor Score: ___/100%
11. Scenario: Anderson Score: ___/100%
12. Scenario: Martin Score: ___/100%
13. Scenario: Thompson Score: ___/100%
14. Scenario: Clark Score: ___/100%
15. Scenario: Garcia Score: ___/100%
16. Scenario: Martinez Score: ___/100%
17. Scenario: Robinson Score: ___/100%
18. Scenario: Clark Score: ___/100%
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19. Scenario: Rodriguez Score: ___/100%
20. Scenario: Lewis Score: ___/100%
21. Scenario: Walker Score: ___/100%
22. Scenario: Hall Score: ___/100%
23. Scenario: Allen Score: ___/100%
Total Contrived Experience Lab Score: Average of above: ___x 0.44 = ____/44%
Final Practicals:
5. Trauma Scenario Score: Score: _____/ 100 _____ This score is 10% of your grade ____ /12%
6. Medical Scenario Score: Score: _____/ 100 = _____ This score is 10% of your grade ____ /12%
7. Professional Behavior Evaluation, Lab Coach: Score: _____/ 22 This score is 4% of your grade ____ /4%
8. Professional Behavior Evaluation, Lead Instructor: Score: _____/ 22 This score is 4% of your grade ____ /4%
9. Behavioral Counseling’s: _____ Positive Follow up: _____ ___ Score: BC - PF = _____ This score subtracts 1% from your grade per point.
10. Unexcused absences: _____ ___ Score: _____ This score subtracts 3% per unexcused absence from your grade.
(Note: Absences, excused or unexcused do NOT excuse you from completing the required competencies)
11. Late Arrivals _____ Early Departures _____ ___ Score: LA+ED=___
This score subtracts 1% per occurrence from your grade.
*Note: If you miss more than 50% of the lab, the occurrence counts as an absence, not a late arrival or early departure.
Total Score ___
Final Letter Grade ___ I DO HEREBY ATTEST THAT ALL INFORMATION CONTAINED ON THIS FORM AND IN THE DOCUMENTATION IN THIS NOTEBOOK IS TRUE AND ACCURATE. _____________________________ ______________________________ _____/_____/_____ PRINTED NAME SIGNATURE DATE
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COLLEGE OF CENTRAL FLORIDA Team Leader Record
STUDENT: TERM:
Student must demonstrate competence as a team leader in a minimum of 10 scenarios
DATE COMMENTS (Adjunct) Competent? SIGNATURE (Adjunct)
Reviewed by:
Instructor: Date:
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CF Paramedic Program Procedure: Assessment and Management of Spinal Immobilization: Prone - Adult, Pediatric Rating Scale: √: Step performed appropriately and following accepted technique
X: This step was omitted or not performed correctly
Steps in the Procedure or Task: Rating
Equipment and Patient Preparation: Student insures scene safety and BSI Student gathers appropriate equipment Student identifies the patient, his or her self, and his or her student status Student explains the procedure to the patient and confirms the patient’s understanding Implementation and Assessment: Assesses general appearance of patient as approaching patient Student establishes and maintains adequate airway, breathing, circulation Student directs assistant to place/maintain head in neutral in-line position Student directs assistant to maintain manual immobilization of the head Student performs rapid head to toe assessment/assesses motor, sensory, and distal circulation in extremities
Student applies measures and applies appropriate size c-collar Student positions the long spine board immobilization device appropriately Student directs log roll movement of the patient onto device without compromising the integrity of the spine
Student applies padding to voids between the torso and the board if necessary Student immobilizes the patient’s torso to the device using two straps Student secures the patient’s legs to the device using one strap Student ensures patients arms are secured to the device Student immobilizes the patient’s head to the device using CID Student continuously reassesses motor, sensory, and distal circulation in extremities
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Student demonstrates competency.
Student does not demonstrate competency
Student: _________________________________________________________________
Evaluator Signature: _______________________________________ Date: _________
9
CF Paramedic Program Procedure: Assessment and Management of Spinal Immobilization: Semi-Prone Adult, Pediatric Rating Scale: √: Step performed appropriately and following accepted technique
X: This step was omitted or not performed correctly
Steps in the Procedure or Task: Rating
Equipment and Patient Preparation: Student insures scene safety and BSI Student gathers appropriate equipment Student identifies the patient, his or her self, and his or her student status Student explains the procedure to the patient and confirms the patient’s understanding Implementation and Assessment: Assesses general appearance of patient as approaching patient Student establishes and maintains adequate airway, breathing, circulation Student directs assistant to place/maintain head in neutral in-line position Student directs assistant to maintain manual immobilization of the head Student performs rapid head to toe assessment/assesses motor, sensory, and distal circulation in extremities
Student applies measures and applies appropriate size c-collar Student positions the long spine board immobilization device appropriately Student directs log roll movement of the patient onto device without compromising the integrity of the spine
Student applies padding to voids between the torso and the board if necessary Student immobilizes the patient’s torso to the device using two straps Student secures the patient’s legs to the device using one strap Student ensures patients arms are secured to the device Student immobilizes the patient’s head to the device using CID Student continuously reassesses motor, sensory, and distal circulation in extremities
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Student demonstrates competency.
Student does not demonstrate competency
Student: _________________________________________________________________
Evaluator Signature: _______________________________________ Date: _________
10
CF Paramedic Program Procedure: Assessment and Management of Spinal Immobilization: Adult Sitting (KED)
Rating Scale: √: Step performed appropriately and following accepted technique X: This step was omitted or not performed correctly
Steps in the Procedure or Task: Rating
Equipment and Patient Preparation: Student insures scene safety and BSI Student gathers appropriate equipment Student identifies the patient, his or her self, and his or her student status Student explains the procedure to the patient and confirms the patient’s understanding Implementation and Assessment: Assesses general appearance of patient as approaching patient Student establishes and maintains adequate airway, breathing, circulation Student directs assistant to place/maintain head in neutral in-line position Student directs assistant to maintain manual immobilization of the head Student performs rapid head to toe assessment/assesses motor, sensory, and distal circulation in extremities
Student applies measures and applies appropriate size c-collar Student positions the KED immobilization device appropriately behind patient Student immobilizes the patient’s torso to the device (Middle, Bottom, Legs, Head, Top) Student pads behind the patient’s head as necessary Student continuously reassesses motor, sensory, and distal circulation in extremities
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Student demonstrates competency.
Student does not demonstrate competency
Student: _________________________________________________________________
Evaluator Signature: _______________________________________ Date: _________
11
CF Paramedic Program Procedure: Assessment and Management of Spinal Immobilization: Standing - Adult, Pediatric Rating Scale: √: Step performed appropriately and following accepted technique
X: This step was omitted or not performed correctly
Steps in the Procedure or Task: Rating
Equipment and Patient Preparation: Student insures scene safety and BSI Student gathers appropriate equipment Student identifies the patient, his or her self, and his or her student status Student explains the procedure to the patient and confirms the patient’s understanding Implementation and Assessment: Assesses general appearance of patient as approaching patient Student establishes and maintains adequate airway, breathing, circulation Student directs assistant to place/maintain head in neutral in-line position Student directs assistant to maintain manual immobilization of the head Student performs rapid head to toe assessment/assesses motor, sensory, and distal circulation in extremities
Student measures and applies appropriate size c-collar Student positions the long spine board immobilization device appropriately behind patient Student and assistant to move to each side of patient while maintaining c-spine Student and assistant gently/safely lower the patient and the backboard to the ground while maintaining in line stabilization of c-spine
Student directs assistant to solely regain control of and continue to maintain in line stabilization of c-spine
Student applies padding to voids between the torso and the board if necessary Student immobilizes the patient’s torso to the device using two straps Student secures the patient’s legs to the device using one strap Student ensures patients arms are secured to the device Student immobilizes the patient’s head to the device using CID Student continuously reassesses motor, sensory, and distal circulation in extremities
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Student demonstrates competency.
Student does not demonstrate competency
Student: _________________________________________________________________
Evaluator Signature: _______________________________________ Date: _________
12
CF Paramedic Program Procedure: Assessment and Management of Spinal Immobilization: Supine
Rating Scale: √: Step performed appropriately and following accepted technique X: This step was omitted or not performed correctly
Steps in the Procedure or Task: Rating
Equipment and Patient Preparation: Student insures scene safety and BSI Student gathers appropriate equipment Student identifies the patient, his or her self, and his or her student status Student explains the procedure to the patient and confirms the patient’s understanding Implementation and Assessment: Assesses general appearance of patient as approaching patient Student establishes and maintains adequate airway, breathing, circulation Student directs assistant to place/maintain head in neutral in-line position Student directs assistant to maintain manual immobilization of the head Student performs rapid head to toe assessment/assesses motor, sensory, and distal circulation in extremities
Student applies measures and applies appropriate size c-collar Student positions the long spine board immobilization device appropriately Student directs log roll movement of the patient onto device without compromising the integrity of the spine
Student applies padding to voids between the torso and the board if necessary Student immobilizes the patient’s torso to the device using two straps Student secures the patient’s legs to the device using one strap Student ensures patients arms are secured to the device Student immobilizes the patient’s head to the device using CID Student continuously reassesses motor, sensory, and distal circulation in extremities
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Student demonstrates competency.
Student does not demonstrate competency
Student: _________________________________________________________________
Evaluator Signature: _______________________________________ Date: _________
13
CF Paramedic Program Procedure: Assessment and Management of Traction Splint Rating Scale: √: Step performed appropriately and following accepted technique
X: This step was omitted or not performed correctly
Steps in the Procedure or Task: Rating
Equipment and Patient Preparation: Student insures scene safety and BSI Student gathers appropriate equipment Student identifies the patient, his or her self, and his or her student status Student explains the procedure to the patient and confirms the patient’s understanding Implementation and Assessment: Assesses general appearance of patient as approaching patient Student establishes and maintains adequate airway, breathing, circulation Student assesses motor, sensory, and distal circulation Student applies manual stabilization of the injured extremity Student prepares/adjusts splint to the proper length Student safely places injured extremity in the splint Student applies the proximal securing strap (ischial strap) Student applies the distal securing strap (ankle hitch) Student applies mechanical traction Student positions/secures the support straps Student re-evaluates the proximal/distal securing straps Student reassesses motor, sensory, and distal circulation
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Student demonstrates competency.
Student does not demonstrate competency
Student: _________________________________________________________________
Evaluator Signature: _______________________________________ Date: _________
14
CF Paramedic Program Procedure: Assessment and Management of Radiation Burns: Adult, Child, Infant
Rating Scale: √: Step performed appropriately and following accepted technique X: This step was omitted or not performed correctly
Steps in the Procedure or Task: Rating
Equipment and Patient Preparation: Student insures scene safety and BSI Student gathers appropriate equipment Student identifies the patient, his or her self, and his or her student status Student explains the procedure to the patient and confirms the patient’s understanding Implementation and Assessment: Ensures safety of the crew before approaching the patient, and secures the scene from others. Wear appropriate protective gear / stays behind a protective barrier. Evaluates the patient’s level of consciousness. Assures the airway is patent, if not, takes action to protect the airway. If airway compromised considers endotracheal intubation. Administers oxygen via appropriate oxygen delivery device. Examine body for any injuries. Approximates area of burn injury using the “Rule of Nines”. Documents the extent and type of burn. Removes all contaminated clothing / decontaminates patient. Covers burn area with sterile dressing. Places patient the ECG monitor, watching for possible dysrhythmias. Takes vitals signs every 5 - 15 minutes and prepares for rapid transport. Initiates one large bore IV’s and initiates fluid resuscitation if necessary (2 IV’s if severe injury and initiates 20ml/kg bolus).
If patient is conscious and in pain, administers appropriate pain relief medication. Administers psychological first aid. Discusses transport considerations related to extent of the injury, time, location, and hospital capabilities.
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Student demonstrates competency.
Student does not demonstrate competency
Student: ________________________________________________________
Evaluator Signature: _______________________________________ Date: _________
15
CF Paramedic Program Procedure: Assessment and Management of Thermal Burn: Adult, Child, Infant
Rating Scale: √: Step performed appropriately and following accepted technique X: This step was omitted or not performed correctly
Steps in the Procedure or Task: Rating
Equipment and Patient Preparation: Scene size-up with BSI / recognizes scene safety. Student gathers appropriate equipment Student identifies the patient, his or her self, and his or her student status Student explains the procedure to the patient and confirms the patient’s understanding Move patient away from the source if all possible. Implementation and Assessment: Forms a general impression of the patient. Extinguishes any fire or removes and caustic substances. Rules out any danger of associated trauma or head and spine injury. Evaluates the patient’s level of consciousness (if altered considers toxic inhalation). Assures the airway is patent, if not takes action to protect the airway. Examines for signs of thermal or inhalation injury during airway exam. Stridor, hoarseness, coughing, and assesses tidal volume.
Examines breath sounds for possible inhalation injury. If airway compromised considers endotracheal intubation. Administers oxygen via appropriate oxygen delivery device. Examine area of burn (s), which will be to the epidermis. Approximates area of burn injury using the “Rule of Nines”. Documents the extent and type of burn. Covers area with sterile dressing. Takes vitals signs every 5 - 15 minutes and prepares for rapid transport.
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Student demonstrates competency.
Student does not demonstrate competency
Student: ________________________________________________________
Evaluator Signature: _______________________________________ Date: _________
16
CF Paramedic Program Procedure: Assessment and Management of Electrical Burn Injury: Adult, Child, Infant
Rating Scale: √: Step performed appropriately and following accepted technique X: This step was omitted or not performed correctly
Steps in the Procedure or Task: Rating
Equipment and Patient Preparation: Scene size-up with BSI / recognizes scene safety. Student gathers appropriate equipment Student identifies the patient, his or her self, and his or her student status Student explains the procedure to the patient and confirms the patient’s understanding Ensures the power has been shut off before approaching the patient, and secures the scene from others.
Wear appropriate protective gear. Implementation and Assessment: Evaluates the patient’s level of consciousness. Assures the airway is patent, if not takes action to protect the airway. If airway compromised considers endotracheal intubation. Administers oxygen via appropriate oxygen delivery device. Examine area of burn (s). Approximates area of burn injury using the “Rule of Nines”. Documents the extent and type of burn. Searches for entrance and exit wounds. Covers burn area with sterile dressing. Places patient the ECG monitor, watching for possible dysrhythmias. Takes vitals signs every 5 - 15 minutes and prepares for rapid transport. Initiates one large bore IV’s and initiates fluid resuscitation if necessary (2 IV’s if severe injury and initiates 20ml/kg bolus).
If patient is conscious and in pain, administers appropriate pain relief medication. Request possible use of Sodium Bicarbonate. Administers psychological first aid. Discusses transport considerations related to extent of the injury, time, location, and hospital capabilities.
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Student demonstrates competency.
Student does not demonstrate competency
Student: ________________________________________________________
Evaluator Signature: _______________________________________ Date: _________
17
CF Paramedic Program Procedure: Assessment and Management of Chemical Burn Injury: Adult, Child, Infant
Rating Scale: √: Step performed appropriately and following accepted technique X: This step was omitted or not performed correctly
Steps in the Procedure or Task: Rating
Equipment and Patient Preparation: Scene size-up with BSI / recognizes scene safety. Student gathers appropriate equipment Student identifies the patient, his or her self, and his or her student status Student explains the procedure to the patient and confirms the patient’s understanding Identify the chemical by seeking the MSDS. Wear appropriate gear possible an impervious (fluid proof) gown or suit to prevent further contamination from the chemical.
Implementation and Assessment: Evaluates the patient’s level of consciousness (if altered considers toxic inhalation). Assures the airway is patent, if not takes action to protect the airway. Examines for signs of thermal or inhalation injury during airway exam. Stridor, hoarseness, coughing, and assesses tidal volume.
Examines breath sounds for possible inhalation injury. If airway compromised considers endotracheal intubation. Administers oxygen via appropriate oxygen delivery device. Dry Chemicals, e.g. dry lime, should be brushed off before flushing with water. Most chemical burns can be flushed with copious amounts of water Examine area of burn (s). Approximates area of burn injury using the “Rule of Nines”. Documents the extent and type of burn. Covers area with sterile dressing. Takes vitals signs every 5 - 15 minutes and prepares for rapid transport. If hypotension ensues, administers 2 large bore IV’s and initiates fluid resuscitation. If patient is conscious and in pain, administers appropriate pain relief medication. Administers psychological first aid. Discusses transport considerations related to extent of the injury, time, location, and hospital capabilities.
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Student demonstrates competency.
Student does not demonstrate competency
Student: ________________________________________________________
Evaluator Signature: _______________________________________ Date: _________
18
CF Paramedic Program Procedure: Assessment and Management of Inhalation Burn Injury: Adult, Child, Infant
Rating Scale: √: Step performed appropriately and following accepted technique X: This step was omitted or not performed correctly
Steps in the Procedure or Task: Rating
Equipment and Preparation: Student insures scene safety and BSI Student gathers appropriate equipment Student identifies the patient, his or her self, and his or her student status Student explains the procedure to the patient and confirms the patient’s understanding Implementation and Assessment: Move patient away from the source if all possible. Forms a general impression of the patient. Extinguishes any fire or removes and caustic substances. Rules out any danger of associated trauma or head and spine injury. Evaluates the patient’s level of consciousness (if altered considers toxic inhalation). Assures the airway is patent, if airway is not patent, takes action to protect the airway. Examines for signs of thermal or inhalation injury during airway exam. Stridor, hoarseness, coughing, and assesses tidal volume.
Examines breath sounds for possible inhalation injury. If airway compromised considers endotracheal intubation. Administers oxygen via appropriate oxygen delivery device. Examine area of burn (s), which will be to the epidermis. Approximates area of burn injury using the “Rule of Nines”. Documents the extent and type of burn. Covers area with sterile dressing. Takes vitals signs every 5 - 15 minutes and prepares for rapid transport.
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Student demonstrates competency.
Student does not demonstrate competency
Student: ________________________________________________________
Evaluator Signature: _______________________________________ Date: _________
19
CF Paramedic Program Procedure: Helmet Removal Techniques
Rating Scale: √: Step performed appropriately and following accepted technique X: This step was omitted or not performed correctly
Steps in the Procedure or Task: Rating
Equipment and Preparation: Students insures scene safety and BSI Implementation and Assessment: 1st student kneels above the patients head with palms pressed on the sides of the helmet and fingertips curled over its lower margin, he or she will immobilized the helmet in as close to a neutral in-line position as the helmet allows.
2nd student kneels alongside the patient’s torso and opens or removes the face shield. Assess the airway and undoes the chinstraps. 2nd student then places one hand on the mandible and the other hand under the neck on the occipital and takes over in-line immobilization of the head.
2nd student then releases his hold on the mandible. Then 1st rescuer will pull the sides of the helmet slightly apart, away from the sides of the head. Then carefully pulls the helmet in a straight line off the patient’s head.
Once the helmet has been removed a proper size cervical collar is placed on the patient.
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Student demonstrates competency.
Student does not demonstrate competency
Student: ________________________________________________________
Evaluator Signature: _______________________________________ Date: _________
20
CF Paramedic Program Procedure: Donning and Properly Adjusting a Personal Flotation Device (PFD)
Rating Scale: √: Step performed appropriately and following accepted technique X: This step was omitted or not performed correctly
Steps in the Procedure or Task: Rating
Equipment and Preparation: Student selects the proper sized PFD, one that extends within 6 inches of their waist. Student attaches and adjusts each strap starting from the bottom working their way from bottom to top.
Student pulls on the waist to assure a snug fit. Student assures the PFD will not pull over their head.
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Student demonstrates competency.
Student does not demonstrate competency
Student: ________________________________________________________
Evaluator Signature: _______________________________________ Date: _________
21
CF Paramedic Program Procedure: In-Water Spinal Immobilization Technique: Adult, Child, Infant
Rating Scale: √: Step performed appropriately and following accepted technique X: This step was omitted or not performed correctly
Steps in the Procedure or Task: Rating
Equipment and Patient Preparation: Student insures scene safety Student prepares all equipment Student enters the water if safe, with a PFD if too deep to stand on bottom. Implementation and Assessment: Student sandwiches the patient’s torso with their arms cradling the head and rotates patient to a supine position.
Student assures that the nose, naval and toes remain in a single plane. Student moves the patient by pulling on their shoulders while the rescuer cradles the head in a neutral position with their forearms.
Additional rescuer slides a longboard under the patient. Moves patient to a secure location and immobizes patient to longboard with a cervical collar and straps.
Conserves patient’s body heat and begins patient assessment and management. Initiates immediate transport.
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Student demonstrates competency.
Student does not demonstrate competency
Student: ________________________________________________________
Evaluator Signature: _______________________________________ Date: _________
22
CF Paramedic Program Procedure: Assessment and Management of Thoracic Trauma: Adult, Child, Infant
Rating Scale: √: Step performed appropriately and following accepted technique X: This step was omitted or not performed correctly
Steps in the Procedure or Task: Rating
Equipment and Patient Preparation: Student insures scene safety and BSI Student gathers appropriate equipment Student identifies the patient, his or her self, and his or her student status Student explains the procedure and confirms the patient’s understanding Implementation and Assessment: Student performs a scene size up Student performs an initial assessment Student peforms a rapid trauma assessment Student recognizes the signs and symptoms of traumatic chest injury Student applies oxygen appropriately Student recognizes the need for an initiates an IV Student recognizes and addresses the need for IV fluid bolus of LR or NS Student recognizes the need for airway management and manages the airway appropriately Student applies cardiac monitor Student properly manages the patient’s condition Student calls a trauma alert if indicated Transports to appropriate medical facility
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Student demonstrates competency.
Student does not demonstrate competency
Student: _________________________________________________________________
Evaluator Signature: _______________________________________ Date: _________
23
CF Paramedic Program Procedure: Assessment and Management of Spinal Injury, Traumatic and Non-traumatic: Adult, Child, Infant
Rating Scale: √: Step performed appropriately and following accepted technique X: This step was omitted or not performed correctly
Steps in the Procedure or Task: Rating
Equipment and Patient Preparation: Student insures scene safety and BSI Student gathers appropriate equipment Student identifies the patient, his or her self, and his or her student status Student explains the procedure to the patient and confirms the patient’s understanding Implementation and Assessment: Student performs a scene size up Student rapidly identifies the need for and properly applies spinal motion restriction Student performs an initial assessment Student peforms a rapid trauma assessment Student performs a focused history and physical exam Student recognizes the signs and symptoms of a spinal injury Student assesses for and identifies spinal shock Student calls a trauma alert if indicated Student continually reassesses the patient Student transports to appropriate medical facility
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Student demonstrates competency.
Student does not demonstrate competency
Student: _________________________________________________________________
Evaluator Signature: _______________________________________ Date: _________
24
CF Paramedic Program Procedure: Assessment and Management Altered Mental Status
Rating Scale: √: Step performed appropriately and following accepted technique X: This step was omitted or not performed correctly
Steps in the Procedure or Task: Rating Equipment and Patient Preparation: Student insures scene safety and BSI Student gathers appropriate equipment Student identifies the patient, his or her self, and his or her student status Student explains the procedure to the patient confirms the patient’s understanding Implementation and Assessment: Establish and maintain an adequate airway Provides adequate oxygenation and ventilation (Confirmation with EtCO2 and SpO2) Obtains IV access; start appropriate fluid Obtains blood samples and determines blood glucose level (BGL); Treat if necessary Monitor cardiac rhythm Gives appropriate dose of Narcan, if suspected narcotic overdose Considers thiamine if alcoholic, or malnourished Protects patient during transport If patient combative, administers appropriate dose of sedative medication
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Student demonstrates competency.
Student does not demonstrate competency
Student: _________________________________________________________________
Evaluator Signature: _______________________________________ Date: _________
25
CF Paramedic Program Procedure: Assessment and Management of Anaphylaxis
Rating Scale: √: Step performed appropriately and following accepted technique X: This step was omitted or not performed correctly
Steps in the Procedure or Task: Rating
Equipment and Patient Preparation: Student insures scene safety and BSI Student gathers appropriate equipment Student identifies the patient, his or her self, and his or her student status Student explains the procedure to the patient and confirms the patient’s understanding Implementation and Assessment: Assesses general appearance of patient as approaching patient Determine LOC and signs of airway compromise; Checks for angioneurotic edema Checks for swelling of tongue Checks for ability to speak
Visible hives or redness Considers IM Epinephrine 1:1000; gives appropriate dose Considers necessary airway management steps Provides adequate oxygenation and ventilation Completes focused history and physical exam Finds any medic alert tags or medications
Obtains IV access Obtains blood samples and determines blood glucose level (BGL); Treat if necessary If BP < 90 Repeat Epi IM; or IV 1:10000, if IV established Benadryl IM or IV at appropriate dose Consider Albuterol via nebulizer Monitors patient for changes
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Student demonstrates competency.
Student does not demonstrate competency
Student: _________________________________________________________________
Evaluator Signature: _______________________________________ Date: _________
26
CF Paramedic Program Procedure: Assessment and Management of Communicable Disease
Rating Scale: √: Step performed appropriately and following accepted technique X: This step was omitted or not performed correctly
Steps in the Procedure or Task: Rating
Implementation and Assessment: Student is familiar with the different types of infectious diseases Student is familiar with the different routes an infectious disease can be spread or contracted
Student understands policies and procedures regarding infection control Student is familiar with and uses proper personal protective equpiment Student practices body substance isolation procedures Student covers all open wounds with a watertight dressing Student washes hands or uses waterless hand sanitizer after every patient contact Student understands proper handling of work clothes that have been contaminated Student does not prepare or eat food in patient care areas Student understands proper disposal of needles and sharps into appropriate container(s) Student understands proper disposal of linens and supplies contaminated with bodily fluids Student avoids rubbing his/her face, noses, eyes, or mouth with gloved hands
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Student demonstrates competency.
Student does not demonstrate competency
Student: _________________________________________________________________
Evaluator Signature: _______________________________________ Date: _________
27
CF Paramedic Program Procedure: Assessment and Management of Diabetic Emergencies
Rating Scale: √: Step performed appropriately and following accepted technique X: This step was omitted or not performed correctly
Steps in the Procedure or Task: Rating
Equipment and Patient Preparation: Student insures scene safety and BSI Student gathers appropriate equipment Student identifies the patient, his or her self, and his or her student status Student explains the procedure to the patient and confirms the patient’s understanding Implementation and Assessment: Establish and maintain an adequate airway Provides adequate oxygenation and ventilation Completes focused history and physical exam Finds any medic alert tags or medications
Obtains IV access Obtains blood sample and determines blood glucose level (BGL) If blood glucose < 60 mg/dl gives appropriate dose of glucose Oral glucose, if able to protect own airway IV D50, if unable to protect airway Glucagon IM, if unable to establish IV on altered mental status If patient alcoholic or malnutrious, consider thiamine
If Diabetic Ketoacidosis, or HHNK Start large bore IV of NS; administer fluid bolus per protocol
Monitor patient for changes; treat as necessary
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Student demonstrates competency.
Student does not demonstrate competency
Student: _________________________________________________________________
Evaluator Signature: _______________________________________ Date: _________
28
CF Paramedic Program Procedure: Assessment and Management of Gastrointestinal Bleed
Rating Scale: √: Step performed appropriately and following accepted technique X: This step was omitted or not performed correctly
Steps in the Procedure or Task: Rating
Equipment and Patient Preparation: Student insures scene safety and BSI Student gathers appropriate equipment Student identifies the patient, his or her self, and his or her student status Student explains the procedure to the patient and confirms the patient’s understanding Implementation and Assessment: Assesses general appearance of patient as approaching patient Student establishes and maintains adequate airway, breathing, circulation Student obtains focused history and physical exam Student recognizes the signs and symptoms of a GI Bleed Student initiates early IV access Student initiates fluid rescuscitation to counteract hypovolemia Student applies high flow O2 Student applies cardiac monitor Student reassesses vital signs every 5 minutes Monitors patient for changes Transports to appropriate medical facility
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Student demonstrates competency.
Student does not demonstrate competency
Student: _________________________________________________________________
Evaluator Signature: _______________________________________ Date: _________
29
CF Paramedic Program Procedure: Assessment and Management of Abdominal Pain
The assessment of a patient who complains of abdominal discomfort or whom you suspect of having abdominal pathology is similar to trauma assessment with an expanded history.
Rating Scale: √: Step performed appropriately and following accepted technique X: This step was omitted or not performed correctly
Steps in the Procedure or Task: Rating Equipment and Patient Preparation: Student insures scene safety and BSI Student gathers appropriate equipment Student identifies the patient, his or her self, and his or her student status Student explains the procedure to the patient and confirms the patient’s understanding Implementation and Assessment: Performs initial assessment: General appearance - Survey for potential evidence of problem, positioning, level of discomfort ABCs Level of consciousness
Finds and treats immediate threats to life SAMPLE history Focused OPQRST-ASPN history Any abdominal pain greater than 6 hrs duration may be a surgical emergency
Performs Physical Examination Again note positioning Vitals, repeat as necessary Perform visual inspection of abdomen, notes any findings Perform palpation to all four quadrants, notes any tenderness, rigidity, guarding, rebound Collects any necessary specimens; bowel, urine, emesis
Provides oxygenation appropriate to patient status Starts large bore IV Initiates fluid replacement for blood/fluid loss Monitor cardiac rhythms Position of comfort and transport to hospital If GI bleed; start 2 large bore IVs NS; considers bolus at 20mL/kg
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Student demonstrates competency.
Student does not demonstrate competency
Student: _________________________________________________________________
Evaluator Signature: _______________________________________ Date: _________
30
CF Paramedic Program Procedure: Assessment and Management of Heat Emergencies
Rating Scale: √: Step performed appropriately and following accepted technique X: This step was omitted or not performed correctly
Steps in the Procedure or Task: Rating Equipment and Patient Preparation: Student insures scene safety and BSI Student gathers appropriate equipment Student identifies the patient, his or her self, and his or her student status Student explains the procedure to the patient and confirms the patient’s understanding Implementation and Assessment: Assesses general appearance of patient as approaching patient Determine LOC and signs of airway compromise; Recognizes predisposing factors for heat emergencies: Age, health, medications, acclimatization, length of exposure, activity, environmental factors
Recognizes signs and symptoms specific heat emergency If heat cramps; Removes patient from environment Administers appropriate oral saline solution, or sports drink
If heat exhaustion; Remove patient form environment, keep patient supine Administer oral saline solution, or sports drink. If unable to take fluid, IV NS Remove excess clothing and fan patient Treat shock if present
If heat stroke; Remove patient from environment, removes clothing Initiates appropriate cooling - wipe down with cool water, fans for evaporation If patient begins to shiver, cease cooling measures Administer O2 and initiate appropriate fluid therapy Monitor EKG Avoids vasopressors or anticholinergic meds Monitor core temperature
Monitors patient for changes Transports to appropriate medical facility
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Student demonstrates competency.
Student does not demonstrate competency
Student: _________________________________________________________________
Evaluator Signature: _______________________________________ Date: ________
31
CF Paramedic Program Procedure: Assessment and Management of Neurologic Status
Rating Scale: √: Step performed appropriately and following accepted technique X: This step was omitted or not performed correctly
Steps in the Procedure or Task: Rating Equipment and Patient Preparation: Student insures scene safety and BSI Student gathers appropriate equipment Student identifies the patient, his or her self, and his or her student status Student explains the procedure to the patient and confirms the patient’s understanding Implementation and Assessment: Performs initial assessment: General appearance Speech Skin Facial Droop Posture/Gait AVPU
If patient conscious: Mood Thought Perception Judgment Memory and attention
Performs Focused History Performs Physical Examination: Airway status Respiratory pattern and status Cardiovascular status Sensorimotor status Motor system status Vital signs
Given an appropriate scenario is able to correctly calculate the Glasgow Coma Scale If altered mental status, assesses a factors of AEIOU-TIPS If stroke symptoms present utilizes Cincinnati Prehospital Stroke Scale (CPSS), or Miami Emergency Neurological Deficit (MEND)
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Student demonstrates competency.
Student does not demonstrate competency
Student: _________________________________________________________________
Evaluator Signature: _______________________________________ Date: _________
32
CF Paramedic Program Procedure: Assessment and Management of Hematologic Disorders (Sickle Cell)
Rating Scale: √: Step performed appropriately and following accepted technique X: This step was omitted or not performed correctly
Steps in the Procedure or Task: Rating
Equipment and Patient Preparation: Student insures scene safety and BSI Student gathers appropriate equipment Student identifies the patient, his or her self, and his or her student status Student explains the procedure to the patient and confirms the patient’s understanding Implementation and Assessment: Assesses general appearance of patient as approaching patient Student establishes and maintains adequate airway, breathing, circulation Student obtains focused history and physical exam Student administers High Flow O2 Student initiates an IV Student initiates fluid rescuscitation as needed to counteract dehydration Student applies cardiac monitor Student considers pain control measures Monitors patient for changes Transports to appropriate medical facility
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Student demonstrates competency.
Student does not demonstrate competency
Student: _________________________________________________________________
Evaluator Signature: _______________________________________ Date: _________
33
CF Paramedic Program Procedure: Assessment and Management of Seizures
Rating Scale: √: Step performed appropriately and following accepted technique X: This step was omitted or not performed correctly
Steps in the Procedure or Task: Rating
Equipment and Patient Preparation: Student insures scene safety and BSI Student gathers appropriate equipment Student identifies the patient, his or her self, and his or her student status Student explains the procedure to the patient and confirms the patient’s understanding Implementation and Assessment: Establish and maintain an adequate airway Provides adequate oxygenation and ventilation Completes focused history and differential diagnosis: History of seizure, recent head trauma, alcohol/drug abuse, fever/headache/stiff- neck,diabetes, heart disease, stroke, medications
Completes physical assessment Begins appropriate treatment for underling cause Obtains IV access; start IV NS TKO Obtains blood sample and determines glucose level; gives D50 if appropriate Protects patient from harm during a seizure Monitor cardiac rhythm Demonstrates ability to administer diazepam and lorazepam as indicated for seizures Monitor patient for changes; treat as necessary Recognizes and treats status epilepticus if present If eclampsia; recognizes signs and symptoms (Hyperreflexia, headache, confusion, seizure, coma) Administers Magnesium Sulfate 2 to 4 grams over 10 to 20 minuntes
Transports to appropriate medical facility
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Student demonstrates competency.
Student does not demonstrate competency
Student: _________________________________________________________________
Evaluator Signature: _______________________________________ Date: _________
34
CF Paramedic Program Procedure: Assessment and Management of HHNK
Rating Scale: √: Step performed appropriately and following accepted technique X: This step was omitted or not performed correctly
Steps in the Procedure or Task: Rating
Equipment and Patient Preparation: Student insures scene safety and BSI Student gathers appropriate equipment Student identifies the patient, his or her self, and his or her student status Student explains the procedure to the patient and confirms the patient’s understanding Implementation and Assessment: Assesses general appearance of patient as approaching patient Student establishes and maintains adequate airway, breathing, circulation Student obtains focused history and physical exam Student recognizes the signs and symptoms of HHNK Student assesses blood glucose level Student initiates an IV Student initiates fluid rescuscitation to counteract dehydration Student considers the administration of Thiamine 100mg if patient is an alcoholic or malnourished
Student applies cardiac monitor Monitors patient for changes Transports to appropriate medical facility
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Student demonstrates competency.
Student does not demonstrate competency
Student: _________________________________________________________________
Evaluator Signature: _______________________________________ Date: _________
35
CF Paramedic Program Procedure: Assessment and Management of Snakebite (Envenomation)
Rating Scale: √: Step performed appropriately and following accepted technique X: This step was omitted or not performed correctly
Steps in the Procedure or Task: Rating
Equipment and Patient Preparation: Student insures scene safety and BSI Student gathers appropriate equipment Student identifies the patient, his or her self, and his or her student status Student explains the procedure to the patient and confirms the patient’s understanding Implementation and Assessment: Do not become a victim - do not handle the snake Completes general survey Insures adequacy of ABCs Recognizes signs and symptoms of pit viper envenomation: Fang marks, pain, swelling (progressive), ecchymosis, fasciculation, nausea, vomiting, unusual taste, tachycardia, signs of shock, vesication, numbness, tingling, cardiovascular collapse
Recognizes signs and symptoms of elapidae envenomation (Signs and symptoms may be delayed 10 to 12 hours) Local paresthesias, minimal swelling, decreased mental status,generalized weakness, diplopia, ptosis, difficulty swallowing, impending respiratory failure, hypersalivation, pharyngeal spasm, trismus, fasciculation, hypotension
Identifies snake, if possible Keeps patient calm Place in supine, or semi-Fowler’s position Immobilize extremity at level of heart Remove all rings, watches, constriction devices Apply high flow O2 Initiate large bore IV NS Contact medical control with of patient severity, size, and type of snake Mark area of bite Mark limits of swelling, date and time DO NOT cut, apply ice, or apply tourniquets For elapidae bites (Coral snake), support respiratory and cardiovascular impairment Transports to appropriate medical facility
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Student demonstrates competency.
Student does not demonstrate competency
Student: _________________________________________________________________
Evaluator Signature: _______________________________________ Date: _________
36
CF Paramedic Program Procedure: Assessment and Management of Suspected Stroke
Rating Scale: √: Step performed appropriately and following accepted technique X: This step was omitted or not performed correctly
Steps in the Procedure or Task: Rating Equipment and Patient Preparation: Student insures scene safety and BSI Student gathers appropriate equipment Student identifies the patient, his or her self, and his or her student status Student explains the procedure and confirms the patient’s understanding Implementation and Assessment: Establish and maintain an adequate airway Maintains patient in a position that protects airway If CHF is present, semi-supine position
Provides adequate oxygenation and ventilation Obtains IV access; start appropriate fluid Obtains blood sample and determines blood glucose level (BGL); treat if necessary Considers other causes of symptoms If stroke symptoms present, utilizes Cincinnati Prehospital Stroke Scale (CPSS), or Miami Emergency Neurological Deficit (MEND)
Calls stroke alert, if appropriate Protects patient during transport Transports to appropriate medical facility
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Student demonstrates competency.
Student does not demonstrate competency
Student: _________________________________________________________________
Evaluator Signature: _______________________________________ Date:_________
37
CF Paramedic Program Procedure: Assessment and Management of Syncope / Weakness
Syncope is a neurological condition characterized by a sudden, temporary loss of consciousness characterized by insufficient blood flow to the brain, with recovery almost immediately upon becoming supine.
Rating Scale: √: Step performed appropriately and following accepted technique X: This step was omitted or not performed correctly
Steps in the Procedure or Task: Rating
Equipment and Patient Preparation: Student insures scene safety and BSI Student gathers appropriate equipment Student identifies the patient, his or her self, and his or her student status Student explains the procedure to the patient and confirms the patient’s understanding Implementation and Assessment: Establish and maintain an adequate airway Provides adequate oxygenation and ventilation Completes focused history and differential diagnosis: Cardiovascular conditions; dysrhythmia, mechanical problem Non-cardiovascular: i.e. metabolic, neurological, psychiatric Idiopathic or unknown cause
Begins appropriate treatment for underling cause Obtains IV access and sets appropriate flow rate Obtains blood sample and determines blood glucose level (BGL) Monitor cardiac rhythm Monitor patient for changes; treat as necessary
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Student demonstrates competency.
Student does not demonstrate competency
Student: _________________________________________________________________
Evaluator Signature: _______________________________________ Date:________
38
CF Paramedic Program Procedure: Head Injuries - Child, Infant
Rating Scale: √: Step performed appropriately and following accepted technique X: This step was omitted or not performed correctly
Steps in the Procedure or Task: Rating Equipment and Patient Preparation: Student washes hands Student gathers appropriate equipment Student identifies the patient, his or her self, and his or her student status Student explains the procedure to the caregiver and confirms their understanding Implementation and Assessment: Student assures the scene is safe, applies the appropriate BSI (infection control precautions) Pediatric head injuries are classified as: Mild GCS of 13 to 15 Moderate GCS of 9 to 12 Severe GCS of less than 8
Administer high-flow, high-concentration oxygen for mild to moderate head injuries With severe head injury - intubate and ventilate at a normal rate with 100% oxygen Consider placing patient in a position to protect airway Maintain C-Spine immobilization until patient is secured to LBB Be prepared to turn patient and LBB as unit to facilitate airway drainage Patient with serious oral, nasal (epistaxis), or facial bleeding and no serious spinal injury is suspected, have patient lean forward to promote drainage
Patient with open neck injury with danger of air embolism, place patient on LBB in Trendelenburg position
Patient with potential brain injury, elevate head of LBB to 30o to reduce both external hemorrhage and intracranial pressure
Consider Lidocaine prior to intubation to blunt rise in intracranial pressure Consider RSI with GCS < 8 who have too much muscle tone for endotracheal intubation Consider hyperventilation if brain stem herniation is suspected Scalp Avulsion: Cover open wound and undersurface of scalp with large bulky dressing. If contaminated, rinse area with normal saline before applying dressing
Pinna Injury: Place torn pinna in as close anatomical position as possible, place dressing between head and injured ear, cover exposed ear with sterile dressing, bandage the dressed injury firmly to the head
Eye Injury: Apply soft dressing to injured eye, also cover other uninjured eye to prevent sympathetic eye movement
Dislodged Teeth: Rinse teeth in normal saline, wrap teeth in saline soaked gauze Impaled Objects: Leave in place, dress, and bandage to prevent movement. If object severely impairs airway, remove object.
Treat for shock with positioning, fluids, and maintenance of body temperature Rapid transport to pediatric trauma facility
Cont. on Page 2
39
CF Paramedic Program Procedure: Head Injuries - Child, Infant: Page 2
Follow-up: Continually monitors patient for improvement Disposes of contaminated items properly Documents the procedure appropriately
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Student demonstrates competency.
Student does not demonstrate competency
Student: _________________________________________________________________
Evaluator Signature: _______________________________________ Date: _________
40
CF Paramedic Program Procedure: Chest Injuries - Child, Infant
Rating Scale: √: Step performed appropriately and following accepted technique X: This step was omitted or not performed correctly
Steps in the Procedure or Task: Rating Equipment and Patient Preparation: Student washes hands Student gathers appropriate equipment Student identifies the patient, his or her self, and his or her student status Student explains the procedure to the caregiver and confirms their understanding Implementation and Assessment: Student assures the scene is safe, applies the appropriate BSI (infection control precautions) Ensure patient is receiving adequate oxygenation, respiratory volume, and rate Suspect intrathoracic injuries due to elastic nature of ribs Open Pneumothorax: Cover wound on three sides. “Burp” dressing as needed to prevent open pneumothorax converting into tension pneumothorax
Tension Pneumothorax: Pleural decompression (pneumocentesis) 1. Position child supine 2. Raise arm above head on affected side 3. Select site: 2nd intercostal at midclavicular line or 4th intercostal at anterior axillary line 4. Prepare site with povidone iodine solution 5. Attach needle with stylet in place to syringe 6. Insert needle at 90o angle and advance until tip hits a rib 7. Advance needle over the top of the rib margin 8. Push needle tip into pleural space. Slight “pop” usually felt when needle pierces pleural membrane or parietal pleural 9. Pull back on plunger to aspirate air 10. Remove syringe and stylet, leave catheter in pleural space, anchored in chest wall 11. Monitor patient, vital signs, consider contralateral needle thoracostomy if patient does not improve.
Treat for shock with positioning, fluids, and maintenance of body temperature Rapid transport to pediatric trauma facility
Follow-up: Continually monitors patient for improvement Disposes of contaminated items properly Documents the procedure appropriately
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Student demonstrates competency.
Student does not demonstrate competency
Student: _________________________________________________________________
Evaluator Signature: _______________________________________ Date: _________
41
CF Paramedic Program Procedure: Abdominal Injuries - Child, Infant
Rating Scale: √: Step performed appropriately and following accepted technique X: This step was omitted or not performed correctly
Steps in the Procedure or Task: Rating Equipment and Patient Preparation: Student washes hands Student gathers appropriate equipment Student identifies the patient, his or her self, and his or her student status Student explains the procedure to the caregiver and confirms their understanding Implementation and Assessment: Student assures the scene is safe, applies the appropriate BSI (infection control precautions) Ensure patient is receiving adequate oxygenation, respiratory volume, and rate Significant blunt trauma can result in splenic or hepatic injuries Spleen is the most commonly injured organ in children Palpate all four quadrants, one at a time, for DCAP-BTLS-IC Left upper quadrant pain suggestive of splenic injury Right upper quadrant and/or right lower thoracic pain suggestive of hepatic injury
Control external hemorrhage with direct pressure Evisceration: Exposed abdominal organs 1. Remove clothing from around wound 2. Cover wound with sterile dressing soaked with sterile normal saline 3. Cover moistened dressing with sterile occlusive dressing to prevent evaporative drying
Impaled Object: Do not remove from patient 1. Prevent from moving by padding around object with bulky trauma dressings 2. Apply direct pressure if moderate to severe hemorrhage is present
Treat for shock with positioning, fluids, and maintenance of body temperature Rapid transport to pediatric trauma facility
Follow-up: Continually monitors patient for improvement Disposes of contaminated items properly Documents the procedure appropriately
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Student demonstrates competency.
Student does not demonstrate competency
Student: _________________________________________________________________
Evaluator Signature: _______________________________________ Date: _________
42
CF Paramedic Program Procedure: Extremity Injuries - Child, Infant
Rating Scale: √: Step performed appropriately and following accepted technique X: This step was omitted or not performed correctly
Steps in the Procedure or Task: Rating Equipment and Patient Preparation: Student washes hands Student gathers appropriate equipment Student identifies the patient, his or her self, and his or her student status Student explains the procedure to the caregiver and confirms their understanding Implementation and Assessment: Student assures the scene is safe, applies the appropriate BSI (infection control precautions) Ensure patient is receiving adequate oxygenation, respiratory volume, and rate Injuries usually limited to fractures and laceration General Principles: Reduce possibility of further injury and reduce discomfort 1. Protect open wounds 2. Position extremity properly 3. Immobilize the injured extremity 4. Monitor neurovascular function in distal limb (PMS = Pulse, Motor, Sensation) before and after application of all splinting procedures
Femur fracture: Apply traction splint Tibia/Fibula: Pad and splint as needed using long rigid boards positioned on either side of limb
Clavicle: Most frequently broken bone in body. Immobilize by using sling and swath or by wrapping figure eight bandage around shoulders, drawing shoulders back
Humerus: Apply sling and swath to immobilize limb against chest Radius/Ulna: Secure hand in position of function, splint with short, padded rigid splint affixed to forearm and hand
Knee: Immobilize in position found unless distal circulation, sensation, or motor function are impaired
Ankle/Foot: splint sprains or nondisplaced fractures with air splint, pillow splint, or with long rigid boards positioned on either side of limb
Shoulder - Immobilize in position found using sling and swath Elbow: Splint using single padded rigid board, providing cross-strapping as necessary, or use ladder splint conformed to contour/angle of elbow, keep wrist slightly elevated above elbow, secure to chest using sling and swath
Wrist/Hand: Secure hand in position of function, secure to padded rigid board or inflate air splint, keep wrist slightly elevated above elbow, secure to chest using sling and swath
Finger: Splint using tongue blades, small, malleable splints, or taped to adjoining fingers to limit additional movement. Place hand in position of function and further immobilize
Treat for shock with positioning, fluids, and maintenance of body temperature Rapid transport to pediatric trauma facility
Cont. on Page 2
43
CF Paramedic Program Procedure: Extremity Injuries - Child, Infant: Page 2
Follow-up: Continually monitors patient for improvement Disposes of contaminated items properly Documents the procedure appropriately
Final Grade First
AttemptSecond Attempt
Third Attempt
Evaluator Initials
Student demonstrates competency.
Student does not demonstrate competency
Student: _________________________________________________________________ Evaluator Signature: _______________________________________ Date: _________
44
CF Paramedic Program Contrived Experience Lab
Scenario Evaluation Sheet: Smith
Implementation and assessment: Possible points
Points earned
Did the student approach the patient safely and in proper PPE? No: Critical Failure Yes: 1 Point
Did the student treat the patient, bystanders and co-workers with dignity and respect? No: 0 Points Yes: 1 Point
Did the student address immediate life threats in a timely manner? Not Applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student obtain an accurate and complete history on the patient? Not obtainable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student do an appropriate assessment (vital signs, ekg, blood glucose, correct physical assessment, etc)? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student develop a complete and accurate field diagnosis of the patient’s condition? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student treat the patient’s condition in accordance with the current standard of care? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
45
Contrived Experience Lab: Page 2 Possible points
Points earned
Did the student perform the necessary procedures (IV insertion, Intubation, etc) safely, correctly and in a timely manner? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student identify and promptly call any alerts specific to the patient’s condition (Cardiac alert, trauma alert, etc)? No: 0 Points Yes: 5 Points
Did the student properly address the patient’s comfort (Position, pain management, etc)? No: 0 Points Yes: 5 Points
Did the student choose an appropriate transportation destination? No: 0 Points Yes: 5 Points
Did the student begin transport in a timely manner? No: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student adequately reevaluate the patient after treatment? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student address changes in patient’s condition in accordance with the current standard of care? Not applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Was the student’s documentation of the incident complete and accurate? No: 0 Points Yes: 5 Point
Comments:
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Score: Points earned / Possible points x 100 =
Student: _________________________________________________________________
Evaluator Printed Name________________ Evaluator Signature: ________________ Date: _________
46
CF Paramedic Program Contrived Experience Lab
Scenario Evaluation Sheet: Johnson
Implementation and assessment: Possible points
Points earned
Did the student approach the patient safely and in proper PPE? No: Critical Failure Yes: 1 Point
Did the student treat the patient, bystanders and co-workers with dignity and respect? No: 0 Points Yes: 1 Point
Did the student address immediate life threats in a timely manner? Not Applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student obtain an accurate and complete history on the patient? Not obtainable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student do an appropriate assessment (vital signs, ekg, blood glucose, correct physical assessment, etc)? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student develop a complete and accurate field diagnosis of the patient’s condition? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student treat the patient’s condition in accordance with the current standard of care? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
47
Contrived Experience Lab: Page 2 Possible points
Points earned
Did the student perform the necessary procedures (IV insertion, Intubation, etc) safely, correctly and in a timely manner? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student identify and promptly call any alerts specific to the patient’s condition (Cardiac alert, trauma alert, etc)? No: 0 Points Yes: 5 Points
Did the student properly address the patient’s comfort (Position, pain management, etc)? No: 0 Points Yes: 5 Points
Did the student choose an appropriate transportation destination? No: 0 Points Yes: 5 Points
Did the student begin transport in a timely manner? No: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student adequately reevaluate the patient after treatment? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student address changes in patient’s condition in accordance with the current standard of care? Not applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Was the student’s documentation of the incident complete and accurate? No: 0 Points Yes: 5 Point
Comments:
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Score: Points earned / Possible points x 100 =
Student: _________________________________________________________________
Evaluator Printed Name________________ Evaluator Signature: ________________ Date: _________
48
CF Paramedic Program Contrived Experience Lab
Scenario Evaluation Sheet: Williams
Implementation and assessment: Possible points
Points earned
Did the student approach the patient safely and in proper PPE? No: Critical Failure Yes: 1 Point
Did the student treat the patient, bystanders and co-workers with dignity and respect? No: 0 Points Yes: 1 Point
Did the student address immediate life threats in a timely manner? Not Applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student obtain an accurate and complete history on the patient? Not obtainable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student do an appropriate assessment (vital signs, ekg, blood glucose, correct physical assessment, etc)? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student develop a complete and accurate field diagnosis of the patient’s condition? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student treat the patient’s condition in accordance with the current standard of care? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
49
Contrived Experience Lab: Page 2 Possible points
Points earned
Did the student perform the necessary procedures (IV insertion, Intubation, etc) safely, correctly and in a timely manner? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student identify and promptly call any alerts specific to the patient’s condition (Cardiac alert, trauma alert, etc)? No: 0 Points Yes: 5 Points
Did the student properly address the patient’s comfort (Position, pain management, etc)? No: 0 Points Yes: 5 Points
Did the student choose an appropriate transportation destination? No: 0 Points Yes: 5 Points
Did the student begin transport in a timely manner? No: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student adequately reevaluate the patient after treatment? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student address changes in patient’s condition in accordance with the current standard of care? Not applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Was the student’s documentation of the incident complete and accurate? No: 0 Points Yes: 5 Point
Comments:
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Score: Points earned / Possible points x 100 =
Student: _________________________________________________________________
Evaluator Printed Name________________ Evaluator Signature: ________________ Date: _________
50
CF Paramedic Program Contrived Experience Lab
Scenario Evaluation Sheet: Jones
Implementation and assessment: Possible points
Points earned
Did the student approach the patient safely and in proper PPE? No: Critical Failure Yes: 1 Point
Did the student treat the patient, bystanders and co-workers with dignity and respect? No: 0 Points Yes: 1 Point
Did the student address immediate life threats in a timely manner? Not Applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student obtain an accurate and complete history on the patient? Not obtainable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student do an appropriate assessment (vital signs, ekg, blood glucose, correct physical assessment, etc)? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student develop a complete and accurate field diagnosis of the patient’s condition? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student treat the patient’s condition in accordance with the current standard of care? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
51
Contrived Experience Lab: Page 2 Possible points
Points earned
Did the student perform the necessary procedures (IV insertion, Intubation, etc) safely, correctly and in a timely manner? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student identify and promptly call any alerts specific to the patient’s condition (Cardiac alert, trauma alert, etc)? No: 0 Points Yes: 5 Points
Did the student properly address the patient’s comfort (Position, pain management, etc)? No: 0 Points Yes: 5 Points
Did the student choose an appropriate transportation destination? No: 0 Points Yes: 5 Points
Did the student begin transport in a timely manner? No: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student adequately reevaluate the patient after treatment? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student address changes in patient’s condition in accordance with the current standard of care? Not applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Was the student’s documentation of the incident complete and accurate? No: 0 Points Yes: 5 Point
Comments:
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Score: Points earned / Possible points x 100 =
Student: _________________________________________________________________
Evaluator Printed Name________________ Evaluator Signature: ________________ Date: _________
52
CF Paramedic Program Contrived Experience Lab
Scenario Evaluation Sheet: Brown
Implementation and assessment: Possible points
Points earned
Did the student approach the patient safely and in proper PPE? No: Critical Failure Yes: 1 Point
Did the student treat the patient, bystanders and co-workers with dignity and respect? No: 0 Points Yes: 1 Point
Did the student address immediate life threats in a timely manner? Not Applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student obtain an accurate and complete history on the patient? Not obtainable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student do an appropriate assessment (vital signs, ekg, blood glucose, correct physical assessment, etc)? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student develop a complete and accurate field diagnosis of the patient’s condition? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student treat the patient’s condition in accordance with the current standard of care? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
53
Contrived Experience Lab: Page 2 Possible points
Points earned
Did the student perform the necessary procedures (IV insertion, Intubation, etc) safely, correctly and in a timely manner? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student identify and promptly call any alerts specific to the patient’s condition (Cardiac alert, trauma alert, etc)? No: 0 Points Yes: 5 Points
Did the student properly address the patient’s comfort (Position, pain management, etc)? No: 0 Points Yes: 5 Points
Did the student choose an appropriate transportation destination? No: 0 Points Yes: 5 Points
Did the student begin transport in a timely manner? No: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student adequately reevaluate the patient after treatment? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student address changes in patient’s condition in accordance with the current standard of care? Not applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Was the student’s documentation of the incident complete and accurate? No: 0 Points Yes: 5 Point
Comments:
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Score: Points earned / Possible points x 100 =
Student: _________________________________________________________________
Evaluator Printed Name________________ Evaluator Signature: ________________ Date: _________
54
CF Paramedic Program Contrived Experience Lab
Scenario Evaluation Sheet: Davis
Implementation and assessment: Possible points
Points earned
Did the student approach the patient safely and in proper PPE? No: Critical Failure Yes: 1 Point
Did the student treat the patient, bystanders and co-workers with dignity and respect? No: 0 Points Yes: 1 Point
Did the student address immediate life threats in a timely manner? Not Applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student obtain an accurate and complete history on the patient? Not obtainable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student do an appropriate assessment (vital signs, ekg, blood glucose, correct physical assessment, etc)? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student develop a complete and accurate field diagnosis of the patient’s condition? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student treat the patient’s condition in accordance with the current standard of care? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
55
Contrived Experience Lab: Page 2 Possible points
Points earned
Did the student perform the necessary procedures (IV insertion, Intubation, etc) safely, correctly and in a timely manner? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student identify and promptly call any alerts specific to the patient’s condition (Cardiac alert, trauma alert, etc)? No: 0 Points Yes: 5 Points
Did the student properly address the patient’s comfort (Position, pain management, etc)? No: 0 Points Yes: 5 Points
Did the student choose an appropriate transportation destination? No: 0 Points Yes: 5 Points
Did the student begin transport in a timely manner? No: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student adequately reevaluate the patient after treatment? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student address changes in patient’s condition in accordance with the current standard of care? Not applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Was the student’s documentation of the incident complete and accurate? No: 0 Points Yes: 5 Point
Comments:
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Score: Points earned / Possible points x 100 =
Student: _________________________________________________________________
Evaluator Printed Name________________ Evaluator Signature: ________________ Date: _________
56
CF Paramedic Program Contrived Experience Lab
Scenario Evaluation Sheet: Miller
Implementation and assessment: Possible points
Points earned
Did the student approach the patient safely and in proper PPE? No: Critical Failure Yes: 1 Point
Did the student treat the patient, bystanders and co-workers with dignity and respect? No: 0 Points Yes: 1 Point
Did the student address immediate life threats in a timely manner? Not Applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student obtain an accurate and complete history on the patient? Not obtainable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student do an appropriate assessment (vital signs, ekg, blood glucose, correct physical assessment, etc)? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student develop a complete and accurate field diagnosis of the patient’s condition? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student treat the patient’s condition in accordance with the current standard of care? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
57
Contrived Experience Lab: Page 2 Possible points
Points earned
Did the student perform the necessary procedures (IV insertion, Intubation, etc) safely, correctly and in a timely manner? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student identify and promptly call any alerts specific to the patient’s condition (Cardiac alert, trauma alert, etc)? No: 0 Points Yes: 5 Points
Did the student properly address the patient’s comfort (Position, pain management, etc)? No: 0 Points Yes: 5 Points
Did the student choose an appropriate transportation destination? No: 0 Points Yes: 5 Points
Did the student begin transport in a timely manner? No: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student adequately reevaluate the patient after treatment? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student address changes in patient’s condition in accordance with the current standard of care? Not applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Was the student’s documentation of the incident complete and accurate? No: 0 Points Yes: 5 Point
Comments:
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Score: Points earned / Possible points x 100 =
Student: _________________________________________________________________
Evaluator Printed Name________________ Evaluator Signature: ________________ Date: _________
58
CF Paramedic Program Contrived Experience Lab
Scenario Evaluation Sheet: Wilson
Implementation and assessment: Possible points
Points earned
Did the student approach the patient safely and in proper PPE? No: Critical Failure Yes: 1 Point
Did the student treat the patient, bystanders and co-workers with dignity and respect? No: 0 Points Yes: 1 Point
Did the student address immediate life threats in a timely manner? Not Applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student obtain an accurate and complete history on the patient? Not obtainable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student do an appropriate assessment (vital signs, ekg, blood glucose, correct physical assessment, etc)? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student develop a complete and accurate field diagnosis of the patient’s condition? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student treat the patient’s condition in accordance with the current standard of care? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
59
Contrived Experience Lab: Page 2 Possible points
Points earned
Did the student perform the necessary procedures (IV insertion, Intubation, etc) safely, correctly and in a timely manner? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student identify and promptly call any alerts specific to the patient’s condition (Cardiac alert, trauma alert, etc)? No: 0 Points Yes: 5 Points
Did the student properly address the patient’s comfort (Position, pain management, etc)? No: 0 Points Yes: 5 Points
Did the student choose an appropriate transportation destination? No: 0 Points Yes: 5 Points
Did the student begin transport in a timely manner? No: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student adequately reevaluate the patient after treatment? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student address changes in patient’s condition in accordance with the current standard of care? Not applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Was the student’s documentation of the incident complete and accurate? No: 0 Points Yes: 5 Point
Comments:
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Score: Points earned / Possible points x 100 =
Student: _________________________________________________________________
Evaluator Printed Name________________ Evaluator Signature: ________________ Date: _________
60
CF Paramedic Program Contrived Experience Lab
Scenario Evaluation Sheet: Moore
Implementation and assessment: Possible points
Points earned
Did the student approach the patient safely and in proper PPE? No: Critical Failure Yes: 1 Point
Did the student treat the patient, bystanders and co-workers with dignity and respect? No: 0 Points Yes: 1 Point
Did the student address immediate life threats in a timely manner? Not Applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student obtain an accurate and complete history on the patient? Not obtainable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student do an appropriate assessment (vital signs, ekg, blood glucose, correct physical assessment, etc)? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student develop a complete and accurate field diagnosis of the patient’s condition? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student treat the patient’s condition in accordance with the current standard of care? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
61
Contrived Experience Lab: Page 2 Possible points
Points earned
Did the student perform the necessary procedures (IV insertion, Intubation, etc) safely, correctly and in a timely manner? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student identify and promptly call any alerts specific to the patient’s condition (Cardiac alert, trauma alert, etc)? No: 0 Points Yes: 5 Points
Did the student properly address the patient’s comfort (Position, pain management, etc)? No: 0 Points Yes: 5 Points
Did the student choose an appropriate transportation destination? No: 0 Points Yes: 5 Points
Did the student begin transport in a timely manner? No: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student adequately reevaluate the patient after treatment? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student address changes in patient’s condition in accordance with the current standard of care? Not applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Was the student’s documentation of the incident complete and accurate? No: 0 Points Yes: 5 Point
Comments:
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Score: Points earned / Possible points x 100 =
Student: _________________________________________________________________
Evaluator Printed Name________________ Evaluator Signature: ________________ Date: _________
62
CF Paramedic Program Contrived Experience Lab
Scenario Evaluation Sheet: Taylor
Implementation and assessment: Possible points
Points earned
Did the student approach the patient safely and in proper PPE? No: Critical Failure Yes: 1 Point
Did the student treat the patient, bystanders and co-workers with dignity and respect? No: 0 Points Yes: 1 Point
Did the student address immediate life threats in a timely manner? Not Applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student obtain an accurate and complete history on the patient? Not obtainable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student do an appropriate assessment (vital signs, ekg, blood glucose, correct physical assessment, etc)? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student develop a complete and accurate field diagnosis of the patient’s condition? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student treat the patient’s condition in accordance with the current standard of care? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
63
Contrived Experience Lab: Page 2 Possible points
Points earned
Did the student perform the necessary procedures (IV insertion, Intubation, etc) safely, correctly and in a timely manner? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student identify and promptly call any alerts specific to the patient’s condition (Cardiac alert, trauma alert, etc)? No: 0 Points Yes: 5 Points
Did the student properly address the patient’s comfort (Position, pain management, etc?) No: 0 Points Yes: 5 Points
Did the student choose an appropriate transportation destination? No: 0 Points Yes: 5 Points
Did the student begin transport in a timely manner? No: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student adequately reevaluate the patient after treatment? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student address changes in patient’s condition in accordance with the current standard of care? Not applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Was the student’s documentation of the incident complete and accurate? No: 0 Points Yes: 5 Point
Comments:
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Score: Points earned / Possible points x 100 =
Student: _________________________________________________________________
Evaluator Printed Name________________ Evaluator Signature: ________________ Date: _________
64
CF Paramedic Program Contrived Experience Lab
Scenario Evaluation Sheet: Anderson
Implementation and assessment: Possible points
Points earned
Did the student approach the patient safely and in proper PPE? No: Critical Failure Yes: 1 Point
Did the student treat the patient, bystanders and co-workers with dignity and respect? No: 0 Points Yes: 1 Point
Did the student address immediate life threats in a timely manner? Not Applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student obtain an accurate and complete history on the patient? Not obtainable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student do an appropriate assessment (vital signs, ekg, blood glucose, correct physical assessment, etc)? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student develop a complete and accurate field diagnosis of the patient’s condition? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student treat the patient’s condition in accordance with the current standard of care? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
65
Contrived Experience Lab: Page 2 Possible points
Points earned
Did the student perform the necessary procedures (IV insertion, Intubation, etc) safely, correctly and in a timely manner? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student identify and promptly call any alerts specific to the patient’s condition (Cardiac alert, trauma alert, etc)? No: 0 Points Yes: 5 Points
Did the student properly address the patient’s comfort (Position, pain management, etc)? No: 0 Points Yes: 5 Points
Did the student choose an appropriate transportation destination? No: 0 Points Yes: 5 Points
Did the student begin transport in a timely manner? No: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student adequately reevaluate the patient after treatment? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student address changes in patient’s condition in accordance with the current standard of care? Not applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Was the student’s documentation of the incident complete and accurate? No: 0 Points Yes: 5 Point
Comments:
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Score: Points earned / Possible points x 100 =
Student: _________________________________________________________________
Evaluator Printed Name________________ Evaluator Signature: ________________ Date: _________
66
CF Paramedic Program Contrived Experience Lab
Scenario Evaluation Sheet: Martin
Implementation and assessment: Possible points
Points earned
Did the student approach the patient safely and in proper PPE? No: Critical Failure Yes: 1 Point
Did the student treat the patient, bystanders and co-workers with dignity and respect? No: 0 Points Yes: 1 Point
Did the student address immediate life threats in a timely manner? Not Applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student obtain an accurate and complete history on the patient? Not obtainable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student do an appropriate assessment (vital signs, ekg, blood glucose, correct physical assessment, etc)? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student develop a complete and accurate field diagnosis of the patient’s condition? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student treat the patient’s condition in accordance with the current standard of care? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
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Contrived Experience Lab: Page 2 Possible points
Points earned
Did the student perform the necessary procedures (IV insertion, Intubation, etc) safely, correctly and in a timely manner? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student identify and promptly call any alerts specific to the patient’s condition (Cardiac alert, trauma alert, etc)? No: 0 Points Yes: 5 Points
Did the student properly address the patient’s comfort (Position, pain management, etc)? No: 0 Points Yes: 5 Points
Did the student choose an appropriate transportation destination? No: 0 Points Yes: 5 Points
Did the student begin transport in a timely manner? No: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student adequately reevaluate the patient after treatment? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student address changes in patient’s condition in accordance with the current standard of care? Not applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Was the student’s documentation of the incident complete and accurate? No: 0 Points Yes: 5 Point
Comments:
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Score: Points earned / Possible points x 100 =
Student: _________________________________________________________________
Evaluator Printed Name________________ Evaluator Signature: ________________ Date: _________
68
CF Paramedic Program Contrived Experience Lab
Scenario Evaluation Sheet: Thompson
Implementation and assessment: Possible points
Points earned
Did the student approach the patient safely and in proper PPE? No: Critical Failure Yes: 1 Point
Did the student treat the patient, bystanders and co-workers with dignity and respect? No: 0 Points Yes: 1 Point
Did the student address immediate life threats in a timely manner? Not Applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student obtain an accurate and complete history on the patient? Not obtainable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student do an appropriate assessment (vital signs, ekg, blood glucose, correct physical assessment, etc)? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student develop a complete and accurate field diagnosis of the patient’s condition? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student treat the patient’s condition in accordance with the current standard of care? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
69
Contrived Experience Lab: Page 2 Possible points
Points earned
Did the student perform the necessary procedures (IV insertion, Intubation, etc) safely, correctly and in a timely manner? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student identify and promptly call any alerts specific to the patient’s condition (Cardiac alert, trauma alert, etc)? No: 0 Points Yes: 5 Points
Did the student properly address the patient’s comfort (Position, pain management, etc)? No: 0 Points Yes: 5 Points
Did the student choose an appropriate transportation destination? No: 0 Points Yes: 5 Points
Did the student begin transport in a timely manner? No: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student adequately reevaluate the patient after treatment? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student address changes in patient’s condition in accordance with the current standard of care? Not applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Was the student’s documentation of the incident complete and accurate? No: 0 Points Yes: 5 Point
Comments:
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Score: Points earned / Possible points x 100 =
Student: _________________________________________________________________
Evaluator Printed Name________________ Evaluator Signature: ________________ Date: _________
70
CF Paramedic Program Contrived Experience Lab
Scenario Evaluation Sheet: Clark
Implementation and assessment: Possible points
Points earned
Did the student approach the patient safely and in proper PPE? No: Critical Failure Yes: 1 Point
Did the student treat the patient, bystanders and co-workers with dignity and respect? No: 0 Points Yes: 1 Point
Did the student address immediate life threats in a timely manner? Not Applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student obtain an accurate and complete history on the patient? Not obtainable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student do an appropriate assessment (vital signs, ekg, blood glucose, correct physical assessment, etc)? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student develop a complete and accurate field diagnosis of the patient’s condition? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student treat the patient’s condition in accordance with the current standard of care? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
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Contrived Experience Lab: Page 2 Possible points
Points earned
Did the student perform the necessary procedures (IV insertion, Intubation, etc) safely, correctly and in a timely manner? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student identify and promptly call any alerts specific to the patient’s condition (Cardiac alert, trauma alert, etc)? No: 0 Points Yes: 5 Points
Did the student properly address the patient’s comfort (Position, pain management, etc)? No: 0 Points Yes: 5 Points
Did the student choose an appropriate transportation destination? No: 0 Points Yes: 5 Points
Did the student begin transport in a timely manner? No: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student adequately reevaluate the patient after treatment? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student address changes in patient’s condition in accordance with the current standard of care? Not applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Was the student’s documentation of the incident complete and accurate? No: 0 Points Yes: 5 Point
Comments:
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Score: Points earned / Possible points x 100 =
Student: _________________________________________________________________
Evaluator Printed Name________________ Evaluator Signature: ________________ Date: _________
72
CF Paramedic Program Contrived Experience Lab
Scenario Evaluation Sheet: Garcia
Implementation and assessment: Possible points
Points earned
Did the student approach the patient safely and in proper PPE? No: Critical Failure Yes: 1 Point
Did the student treat the patient, bystanders and co-workers with dignity and respect? No: 0 Points Yes: 1 Point
Did the student address immediate life threats in a timely manner? Not Applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student obtain an accurate and complete history on the patient? Not obtainable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student do an appropriate assessment (vital signs, ekg, blood glucose, correct physical assessment, etc)? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student develop a complete and accurate field diagnosis of the patient’s condition? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student treat the patient’s condition in accordance with the current standard of care? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
73
Contrived Experience Lab: Page 2 Possible points
Points earned
Did the student perform the necessary procedures (IV insertion, Intubation, etc) safely, correctly and in a timely manner? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student identify and promptly call any alerts specific to the patient’s condition (Cardiac alert, trauma alert, etc)? No: 0 Points Yes: 5 Points
Did the student properly address the patient’s comfort (Position, pain management, etc)? No: 0 Points Yes: 5 Points
Did the student choose an appropriate transportation destination? No: 0 Points Yes: 5 Points
Did the student begin transport in a timely manner? No: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student adequately reevaluate the patient after treatment? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student address changes in patient’s condition in accordance with the current standard of care? Not applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Was the student’s documentation of the incident complete and accurate? No: 0 Points Yes: 5 Point
Comments:
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Score: Points earned / Possible points x 100 =
Student: _________________________________________________________________
Evaluator Printed Name________________ Evaluator Signature: ________________ Date: _________
74
CF Paramedic Program Contrived Experience Lab
Scenario Evaluation Sheet: Martinez
Implementation and assessment: Possible points
Points earned
Did the student approach the patient safely and in proper PPE? No: Critical Failure Yes: 1 Point
Did the student treat the patient, bystanders and co-workers with dignity and respect? No: 0 Points Yes: 1 Point
Did the student address immediate life threats in a timely manner? Not Applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student obtain an accurate and complete history on the patient? Not obtainable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student do an appropriate assessment (vital signs, ekg, blood glucose, correct physical assessment, etc)? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student develop a complete and accurate field diagnosis of the patient’s condition? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student treat the patient’s condition in accordance with the current standard of care? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
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Contrived Experience Lab: Page 2 Possible points
Points earned
Did the student perform the necessary procedures (IV insertion, Intubation, etc) safely, correctly and in a timely manner? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student identify and promptly call any alerts specific to the patient’s condition (Cardiac alert, trauma alert, etc)? No: 0 Points Yes: 5 Points
Did the student properly address the patient’s comfort (Position, pain management, etc)? No: 0 Points Yes: 5 Points
Did the student choose an appropriate transportation destination? No: 0 Points Yes: 5 Points
Did the student begin transport in a timely manner? No: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student adequately reevaluate the patient after treatment? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student address changes in patient’s condition in accordance with the current standard of care? Not applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Was the student’s documentation of the incident complete and accurate? No: 0 Points Yes: 5 Point
Comments:
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Score: Points earned / Possible points x 100 =
Student: _________________________________________________________________
Evaluator Printed Name________________ Evaluator Signature: ________________ Date: _________
76
CF Paramedic Program Contrived Experience Lab
Scenario Evaluation Sheet: Robinson
Implementation and assessment: Possible points
Points earned
Did the student approach the patient safely and in proper PPE? No: Critical Failure Yes: 1 Point
Did the student treat the patient, bystanders and co-workers with dignity and respect? No: 0 Points Yes: 1 Point
Did the student address immediate life threats in a timely manner? Not Applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student obtain an accurate and complete history on the patient? Not obtainable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student do an appropriate assessment (vital signs, ekg, blood glucose, correct physical assessment, etc)? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student develop a complete and accurate field diagnosis of the patient’s condition? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student treat the patient’s condition in accordance with the current standard of care? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
77
Contrived Experience Lab: Page 2 Possible points
Points earned
Did the student perform the necessary procedures (IV insertion, Intubation, etc) safely, correctly and in a timely manner? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student identify and promptly call any alerts specific to the patient’s condition (Cardiac alert, trauma alert, etc)? No: 0 Points Yes: 5 Points
Did the student properly address the patient’s comfort (Position, pain management, etc)? No: 0 Points Yes: 5 Points
Did the student choose an appropriate transportation destination? No: 0 Points Yes: 5 Points
Did the student begin transport in a timely manner? No: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student adequately reevaluate the patient after treatment? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student address changes in patient’s condition in accordance with the current standard of care? Not applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Was the student’s documentation of the incident complete and accurate? No: 0 Points Yes: 5 Point
Comments:
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Score: Points earned / Possible points x 100 =
Student: _________________________________________________________________
Evaluator Printed Name________________ Evaluator Signature: ________________ Date: _________
78
CF Paramedic Program Contrived Experience Lab
Scenario Evaluation Sheet: Rodriguez
Implementation and assessment: Possible points
Points earned
Did the student approach the patient safely and in proper PPE? No: Critical Failure Yes: 1 Point
Did the student treat the patient, bystanders and co-workers with dignity and respect? No: 0 Points Yes: 1 Point
Did the student address immediate life threats in a timely manner? Not Applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student obtain an accurate and complete history on the patient? Not obtainable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student do an appropriate assessment (vital signs, ekg, blood glucose, correct physical assessment, etc)? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student develop a complete and accurate field diagnosis of the patient’s condition? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student treat the patient’s condition in accordance with the current standard of care? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
79
Contrived Experience Lab: Page 2 Possible points
Points earned
Did the student perform the necessary procedures (IV insertion, Intubation, etc) safely, correctly and in a timely manner? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student identify and promptly call any alerts specific to the patient’s condition (Cardiac alert, trauma alert, etc)? No: 0 Points Yes: 5 Points
Did the student properly address the patient’s comfort (Position, pain management, etc)? No: 0 Points Yes: 5 Points
Did the student choose an appropriate transportation destination? No: 0 Points Yes: 5 Points
Did the student begin transport in a timely manner? No: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student adequately reevaluate the patient after treatment? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student address changes in patient’s condition in accordance with the current standard of care? Not applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Was the student’s documentation of the incident complete and accurate? No: 0 Points Yes: 5 Point
Comments:
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Score: Points earned / Possible points x 100 =
Student: _________________________________________________________________
Evaluator Printed Name________________ Evaluator Signature: ________________ Date: _________
80
CF Paramedic Program Contrived Experience Lab
Scenario Evaluation Sheet: Lewis
Implementation and assessment: Possible points
Points earned
Did the student approach the patient safely and in proper PPE? No: Critical Failure Yes: 1 Point
Did the student treat the patient, bystanders and co-workers with dignity and respect? No: 0 Points Yes: 1 Point
Did the student address immediate life threats in a timely manner? Not Applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student obtain an accurate and complete history on the patient? Not obtainable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student do an appropriate assessment (vital signs, ekg, blood glucose, correct physical assessment, etc)? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student develop a complete and accurate field diagnosis of the patient’s condition? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student treat the patient’s condition in accordance with the current standard of care? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
81
Contrived Experience Lab: Page 2 Possible points
Points earned
Did the student perform the necessary procedures (IV insertion, Intubation, etc) safely, correctly and in a timely manner? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student identify and promptly call any alerts specific to the patient’s condition (Cardiac alert, trauma alert, etc)? No: 0 Points Yes: 5 Points
Did the student properly address the patient’s comfort (Position, pain management, etc)? No: 0 Points Yes: 5 Points
Did the student choose an appropriate transportation destination? No: 0 Points Yes: 5 Points
Did the student begin transport in a timely manner? No: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student adequately reevaluate the patient after treatment? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student address changes in patient’s condition in accordance with the current standard of care? Not applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Was the student’s documentation of the incident complete and accurate? No: 0 Points Yes: 5 Point
Comments:
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Score: Points earned / Possible points x 100 =
Student: _________________________________________________________________
Evaluator Printed Name________________ Evaluator Signature: ________________ Date: _________
82
CF Paramedic Program Contrived Experience Lab
Scenario Evaluation Sheet: Walker
Implementation and assessment: Possible points
Points earned
Did the student approach the patient safely and in proper PPE? No: Critical Failure Yes: 1 Point
Did the student treat the patient, bystanders and co-workers with dignity and respect? No: 0 Points Yes: 1 Point
Did the student address immediate life threats in a timely manner? Not Applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student obtain an accurate and complete history on the patient? Not obtainable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student do an appropriate assessment (vital signs, ekg, blood glucose, correct physical assessment, etc)? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student develop a complete and accurate field diagnosis of the patient’s condition? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student treat the patient’s condition in accordance with the current standard of care? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
83
Contrived Experience Lab: Page 2 Possible points
Points earned
Did the student perform the necessary procedures (IV insertion, Intubation, etc) safely, correctly and in a timely manner? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student identify and promptly call any alerts specific to the patient’s condition (Cardiac alert, trauma alert, etc)? No: 0 Points Yes: 5 Points
Did the student properly address the patient’s comfort (Position, pain management, etc)? No: 0 Points Yes: 5 Points
Did the student choose an appropriate transportation destination? No: 0 Points Yes: 5 Points
Did the student begin transport in a timely manner? No: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student adequately reevaluate the patient after treatment? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student address changes in patient’s condition in accordance with the current standard of care? Not applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Was the student’s documentation of the incident complete and accurate? No: 0 Points Yes: 5 Point
Comments:
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Score: Points earned / Possible points x 100 =
Student: _________________________________________________________________
Evaluator Printed Name________________ Evaluator Signature: ________________ Date: _________
84
CF Paramedic Program Contrived Experience Lab
Scenario Evaluation Sheet: Hall
Implementation and assessment: Possible points
Points earned
Did the student approach the patient safely and in proper PPE? No: Critical Failure Yes: 1 Point
Did the student treat the patient, bystanders and co-workers with dignity and respect? No: 0 Points Yes: 1 Point
Did the student address immediate life threats in a timely manner? Not Applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student obtain an accurate and complete history on the patient? Not obtainable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student do an appropriate assessment (vital signs, ekg, blood glucose, correct physical assessment, etc)? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student develop a complete and accurate field diagnosis of the patient’s condition? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student treat the patient’s condition in accordance with the current standard of care? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
85
Contrived Experience Lab: Page 2 Possible points
Points earned
Did the student perform the necessary procedures (IV insertion, Intubation, etc) safely, correctly and in a timely manner? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student identify and promptly call any alerts specific to the patient’s condition (Cardiac alert, trauma alert, etc)? No: 0 Points Yes: 5 Points
Did the student properly address the patient’s comfort (Position, pain management, etc)? No: 0 Points Yes: 5 Points
Did the student choose an appropriate transportation destination? No: 0 Points Yes: 5 Points
Did the student begin transport in a timely manner? No: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student adequately reevaluate the patient after treatment? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student address changes in patient’s condition in accordance with the current standard of care? Not applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Was the student’s documentation of the incident complete and accurate? No: 0 Points Yes: 5 Point
Comments:
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Score: Points earned / Possible points x 100 =
Student: _________________________________________________________________
Evaluator Printed Name________________ Evaluator Signature: ________________ Date: _________
86
CF Paramedic Program Contrived Experience Lab
Scenario Evaluation Sheet: Allen
Implementation and assessment: Possible points
Points earned
Did the student approach the patient safely and in proper PPE? No: Critical Failure Yes: 1 Point
Did the student treat the patient, bystanders and co-workers with dignity and respect? No: 0 Points Yes: 1 Point
Did the student address immediate life threats in a timely manner? Not Applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student obtain an accurate and complete history on the patient? Not obtainable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student do an appropriate assessment (vital signs, ekg, blood glucose, correct physical assessment, etc)? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student develop a complete and accurate field diagnosis of the patient’s condition? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student treat the patient’s condition in accordance with the current standard of care? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
87
Contrived Experience Lab: Page 2 Possible points
Points earned
Did the student perform the necessary procedures (IV insertion, Intubation, etc) safely, correctly and in a timely manner? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student identify and promptly call any alerts specific to the patient’s condition (Cardiac alert, trauma alert, etc)? No: 0 Points Yes: 5 Points
Did the student properly address the patient’s comfort (Position, pain management, etc)? No: 0 Points Yes: 5 Points
Did the student choose an appropriate transportation destination? No: 0 Points Yes: 5 Points
Did the student begin transport in a timely manner? No: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student adequately reevaluate the patient after treatment? No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Did the student address changes in patient’s condition in accordance with the current standard of care? Not applicable: No possible points, and no points earned No: Critical Failure Yes, with errors that would likely have endangered the patient’s life: Critical Failure Yes, but with errors that could adversely affect the patient’s outcome: 1 Point Yes, but with errors that would not adversely affect patient’s outcome: 6 Points Yes, with no errors: 10 Points
Was the student’s documentation of the incident complete and accurate? No: 0 Points Yes: 5 Point
Comments:
Final Grade First Attempt
Second Attempt
Third Attempt
Evaluator Initials
Score: Points earned / Possible points x 100 =
Student: _________________________________________________________________
Evaluator Printed Name________________ Evaluator Signature: ________________ Date: _________
88
Airway Management Log Student Name: Lead Instructor:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments:
89
Airway Management Log Student Name: Lead Instructor:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments:
90
Airway Management Log Student Name: Lead Instructor:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments:
91
Airway Management Log Student Name: Lead Instructor:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments:
Date: Instructor: Scenario Name?: Successful?
Place: (Circle) Airway Type (Circle one) OPA NPA Oral ET Nasal ET Digital ET Supraglotic Surgical Needle Yes
OR ED LAB AMBU Distractions (Circle one) Noise Lighting Position Obstruction Age (Circle one) Adult Child Infant No
Comments: