Management of Respiratory Arrest Bag-Mask Ventilation Testing Checklist

Transcription

1 Management of Respiratory Arrest Bag-Mask Ventilation Testing Checklist Student Name: Test Date: BLS Survey and Interventions Performance Guidelines and Critical Actions Checks for responsiveness Taps and shouts, Are you all right? and Scans chest for movement (5-10 seconds) Activates the emergency response system Activates the emergency response system and gets the or Directs second rescuer to activate the emergency response system and get the Checks carotid pulse (5-10 seconds). Notes that pulse is present Does not initiate chest compressions or attach Performs ventilations at the correct rate of 1 breath every 5-6 seconds (10-12 breaths per minute) ACLS Survey Case Skills Inserts oropharyngeal or nasopharyngeal airway Administers oxygen Performs correct bag-mask ventilation for 1 minute if done correctly Critical Actions Effectively ventilates with a bag-mask device for 1 minute Gives proper ventilation rate and volume STOP TEST Test Results Circle P or NR to Indicate Pass or Needs Remediation: P NR Instructor signature affirms that skills tests were done according to AHA Guidelines. Save this sheet with course record. Instructor Signature: Print Instructor Name: Date: 2011 American Heart Association

2 CPR and Skills Test 1-Rescuer Adult CPR and Checklist Student Name: Test Date: Skill Step BLS Survey and Interventions Critical Performance Steps if done correctly 1 Checks for responsiveness: Taps and shouts, Are you all right? and scans the chest for movement (5-10 seconds) 2 Tells someone to activate the emergency response system and get an 3 Checks carotid pulse (minimum 5 seconds; maximum 10 seconds) 4 Bares patient s chest and locates CPR hand position 5 Delivers first cycle of compressions at correct rate (acceptable: 18 seconds or less for 30 compressions) 6 Gives 2 breaths (1 second each) Arrives Turns on, selects proper pads, and places pads correctly Clears patient to analyze (must be visible and verbal check) Clears patient to shock/presses shock button (must be visible and verbal check; maximum time from arrival less than 45 seconds) Student Continues CPR 7 Delivers second cycle of compressions at correct hand position (acceptable: greater than 23 of 30 compressions) 8 Gives 2 breaths (1 second each) with visible chest rise The next step is performed only if the manikin is equipped with a feedback device, such as a clicker or light. If there is no feedback device, STOP THE TEST. 9 Delivers third cycle of compressions of adequate depth with complete chest recoil (acceptable: greater than 23 compressions) STOP TEST Test Results Circle P or NR to Indicate Pass or Needs Remediation: P NR Instructor signature affirms that skills tests were done according to AHA Guidelines. Save this sheet with course record. Instructor Signature: Print Instructor Name: Date: 2011 American Heart Association

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5 CPR and Skills Test 1-Rescuer Adult CPR and Checklist Student Name: Test Date: Skill Step BLS Survey and Interventions Critical Performance Steps if done correctly 1 Checks for responsiveness: Taps and shouts, Are you all right? and scans the chest for movement (5-10 seconds) 2 Tells someone to activate the emergency response system and get an 3 Checks carotid pulse (minimum 5 seconds; maximum 10 seconds) 4 Bares patient s chest and locates CPR hand position 5 Delivers first cycle of compressions at correct rate (acceptable: 18 seconds or less for 30 compressions) 6 Gives 2 breaths (1 second each) Arrives Turns on, selects proper pads, and places pads correctly Clears patient to analyze (must be visible and verbal check) Clears patient to shock/presses shock button (must be visible and verbal check; maximum time from arrival less than 45 seconds) Student Continues CPR 7 Delivers second cycle of compressions at correct hand position (acceptable: greater than 23 of 30 compressions) 8 Gives 2 breaths (1 second each) with visible chest rise The next step is performed only if the manikin is equipped with a feedback device, such as a clicker or light. If there is no feedback device, STOP THE TEST. 9 Delivers third cycle of compressions of adequate depth with complete chest recoil (acceptable: greater than 23 compressions) STOP TEST Test Results Circle P or NR to Indicate Pass or Needs Remediation: P NR Instructor signature affirms that skills tests were done according to AHA Guidelines. Save this sheet with course record. Instructor Signature: Print Instructor Name: Date: 2011 American Heart Association

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9 ECC Course Evaluation ACLS Classroom Course Date Instructor(s) Training Center Location Please answer the following questions about your Instructor. My Instructor: 1. Provided instruction and help during my skills practice session 2. Answered all of my questions before my skills test 3. Was professional and courteous to the students Please answer the following questions about the course content. 1. The course learning objectives were clear. 2. The overall level of difficulty of the course was a. Too hard b. Too easy c. Appropriate 3. The content was presented clearly. 4. The quality of videos and written materials was a. Excellent b. Good c. Fair d. Poor 5. The equipment was clean and in good working condition. Please answer the following questions about your skill mastery. 1. The course prepared me to successfully pass the skills session. 2. I am confident I can use the skills the course taught me. c. Not sure 3. I will respond in an emergency because of the skills I learned in this course. c. Not sure 4. I took this course to obtain professional education credit or continuing education credit. Optional questions: Have you previously taken this course via another method, such as in a classroom or online? Which learning method do you prefer and why? Were there any strengths or weaknesses of the course that you would like to comment on? What would you like to see in future courses developed by the AHA? After Completing This Evaluation Please return this evaluation to your Instructor before you leave the class. Alternatively, you can send the evaluation to your Instructor s Training Center. Ask your Instructor for the contact information. If you have significant problems or concerns with your course, please contact the AHA at 877-AHA-4CPR. KJ0920 ACLS CLASS R4/ American Heart Association