Emergency Room Technician/EMT
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1 Emergency Room Technician/EMT Directions Please circle a value for each question to provide us and the interested facilities with an assessment of your clinical experience. These values confirm your strengths within your specialty and assist the facility in the selection process of the healthcare professional. 1 No 2 Some (Require Assistance) 3 Intermittent (May Require Assistance) 4 d (Performs without Assistance) 5 Very d (Able to Teach/Supervise) Print Name Last 4 Digits of SS# Date General Skills Patient and/or family in a death/dying situation Patient or fellow emergency service worker with acute stress Assist RN & physician Assist in code Assist with pelvic exam/obtaining cultures Assist with minor surgical procedures Body mechanics Casting/splinting/OCL Allergy bands Charting Communication skills Computer skills Connect patient to monitor External defibrillator pads Disaster preparedness EKG Seizure pads/precautions IV set up Medical terminology Triage protocols (only if applicable) Orthopedic devices/equipment/patient teaching Suction set up Oxygen set up & application - tanks, mask, NC Patient rights Phlebotomy Post mortem care Specimen collection - stool, sputum, urine, throat, wound Sterile set up Suction devices Awareness of HCAHPS MedStaff Healthcare Solutions Rev. 09/12 F0568 Emergency Room Technician/EMT 1 of 8
2 1 No 2 Some (Require Assistance) 3 Intermittent (May Require Assistance) 4 d (Performs without Assistance) 5 Very d (Able to Teach/Supervise) General Skills - cont. Visual acuity Vital signs - normal & abnormal parameters Weigh patients Wound care & dressing Legal Issues Patient refuses treatment Reporting rape, abuse, gun shot wound Body Substance Isolation and Use of PPE Gloves, mask, gown, eye protection HEPA respirator Hazardous material suit Assessment of Breathing Respiratory rate Quality Auscultation of breath sounds Respiratory Artificial Ventilation Techniques Opening and clearing airway Head-tilt chin-tilt Jaw thrust Mouth-to-mask One-person bag-valve-mask Two-person bag-valve-mask Flow restricted, oxygen-powered ventilation device Mouth-to-mouth Bag-to-stoma or tracheostomy tube Adjunctive Airways Oral Nasal Advanced Airway Management Perform Sellick maneuver Oxygen Administration Non-rebreather Nasal cannula MedStaff Healthcare Solutions Rev. 09/12 F0568 Emergency Room Technician/EMT 2 of 8
3 1 No 2 Some (Require Assistance) 3 Intermittent (May Require Assistance) 4 d (Performs without Assistance) 5 Very d (Able to Teach/Supervise) Circulatory Assessment of Circulation Radial pulse Brachial pulse Carotid pulse Femoral pulse Posterior tibial pulse Dosalis pedis pulse Assessment of Bleeding External Internal Skin color and temperature assessment Capillary refill assessment Recognition of Signs and Symptoms of: Cardiac compromise Shock (hypoperfusion) Use of Automated External Defibrillator (AED) AED maintenance (check battery charge status and change batteries as needed) Assessment of Blood Pressure Auscultation Palpation Assessment Skills Physical Assessment of Mental Status by Level Alert Responds to verbal stimuli Responds to painful stimuli Unresponsive Determination of skin color, temperature, condition Determination of capillary refill in infants/children Assessment of Inspection and/or Palpation for: Deformities Contusions Abrasions Punctures/penetrations Burns Tenderness Lacerations Swelling MedStaff Healthcare Solutions Rev. 09/12 F0568 Emergency Room Technician/EMT 3 of 8
4 1 No 2 Some (Require Assistance) 3 Intermittent (May Require Assistance) 4 d (Performs without Assistance) 5 Very d (Able to Teach/Supervise) Assessment Skills Physical - cont. Jugular vein distention Crepitation Distention Sensation Motor function Drainage Bleeding Discoloration Paradoxical motion Odors Assessment of Pupils Size Reactivity Equality Duties and Equipment Ambu bag Answer call lights/phones Bandages Bedpans/urinals Catheterization tray - straight cath and Foley cath Change linen Commode Crash cart - pediatric and adult Fire extinguisher Glucose monitoring Ice pack Isolation technique & protocol IV & lab supplies Patient transport Monitors - portable/bedside Procedure trays - OB, nasal packing, laceration Provide patient comfort/reporting pain to RN or MD Provide support for patient family Pulse oximetry Restraints Sharps disposal Sphygmomanometer MedStaff Healthcare Solutions Rev. 09/12 F0568 Emergency Room Technician/EMT 4 of 8
5 1 No 2 Some (Require Assistance) 3 Intermittent (May Require Assistance) 4 d (Performs without Assistance) 5 Very d (Able to Teach/Supervise) Duties and Equipment - cont. Stethoscope Stock/clean/organize rooms Stretcher Thermometer - digital/manual Warmers Wheelchairs Suture or staple removal Transport Time management prioritization skills Universal precautions Patient Care Lifting and Moving Patients Correct body mechanics Transferring of patient from ambulance stretcher to hospital stretcher Use of: Cervical immobilization device Short spine board Long spine board Draw sheet method Long roll Suctioning Techniques Portable Electric Hand operated Hard/rigid catheter Pharmacology IV starts Care of diabetic patient with altered mental status Care of patient with: Seizures Allergic reaction Hyperthermia Hypothermia Burns Electric shock Near drowning/drowning incident Bites/stings MedStaff Healthcare Solutions Rev. 09/12 F0568 Emergency Room Technician/EMT 5 of 8
6 1 No 2 Some (Require Assistance) 3 Intermittent (May Require Assistance) 4 d (Performs without Assistance) 5 Very d (Able to Teach/Supervise) Patient Care - cont. Poisoning/Overdose through: Ingestion Inhalation Body contact Injection Behavioral Emergencies Danger to self (suicidal) Danger to self (violent) Obstetrical Condition Miscarriage Normal vaginal delivery Abnormal delivery (cord prolapse, breech, prematurity) Bleeding Direct pressure, dressings Pressure splints Pressure points Tourniquet Trauma Shock Head injury Spinal injury Vomiting Soft Tissue Injuries Closed (contusion, bruise,crush injury) Abrasions/lacerations/avulsions Penetration/puncture Amputation Chest injury Abdominal/evisceration Impaled object Burns Fire Chemical Electrical Musculoskeletal injury Closed bone or joint injury Open bone or joint injury Rigid splint Traction splint MedStaff Healthcare Solutions Rev. 09/12 F0568 Emergency Room Technician/EMT 6 of 8
7 1 No 2 Some (Require Assistance) 3 Intermittent (May Require Assistance) 4 d (Performs without Assistance) 5 Very d (Able to Teach/Supervise) Patient Care - cont. Pneumatic splint Improvised splint Pneumatic anti-shock garment Helmet removal Identification and Care of an Infant or Child with the Following: Seizures Trauma Abuse/neglect Foreign body airway obstruction Need for bag-valve-mask ventilations Need for oxygen delivery Modes/Methods of Communication Base station Mobile two-way Portable radio/cellular phone Communication with patient Speaking second language Written documentation Certifications BCLS ACLS IV certification Age Specific Competencies Newborn/neonate (birth-30 days) Infant (31 days-1 year) Toddler (ages 2-3 years) Preschool (ages 4-5 years) School age (ages 6-12 years) Adolescent (ages years) Young adult (ages years) Adult (ages years) Older adult (ages years) Elderly (ages 80+ years) MedStaff Healthcare Solutions Rev. 09/12 F0568 Emergency Room Technician/EMT 7 of 8
8 1 No 2 Some (Require Assistance) 3 Intermittent (May Require Assistance) 4 d (Performs without Assistance) 5 Very d (Able to Teach/Supervise) Please list any Additional Skills: Additional training: Additional equipment: Fax to: The information on this and all preceding pages is true and correct. Signature Date 2012 MedStaff Healthcare Solutions Rev. 09/12 F0568 Emergency Room Technician/EMT 8 of 8
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Indiana Emergency Medical Services Commission EMT-B Practical Examination Report Form PLEASE PRINT CLEARLY! Course Number: Course Completion Date: Name Last Name First Name Middle Initial SSN Address Street
It is important to point out and frequently remind learners that they are expected to complete ALL aspects of a normal assessment.
Background The purpose of this document is to provide guidelines for faculty on various aspects of patient simulators to be emphasized to learners during orientation. We recommend that every learner be
Vital Signs and SAMPLE History
CHAPTER 9 Vital Signs and SAMPLE History Overall Assessment Scheme Scene Size-Up Initial Assessment Trauma Physical Exam Vital Signs & SAMPLE History Medical SAMPLE History Physical Exam & Vital Signs
DAY 1 Airway Monitoring with Devices Endotracheal Intubation Nasotracheal Intubation Airway Positioning Sterile Tracheal Suctioning
Paramedic 1/Intermediate/Advanced EMT Skills Days Schedule PERCOM EMS Academy Practice Sessions This schedule is designed for 8 hour per day blocks of training for the hands-on psychomotor skills components.
Chapter 8 Trauma Patient Assessment The Patient Assessment Process The Primary Assessment ABCDE s Airway, Breathing, Circulation while securing
1 2 3 4 5 6 Chapter 8 Trauma Patient Assessment The Patient Assessment Process The Primary Assessment ABCDE s Airway, Breathing, Circulation while securing D-Disability Chief complaint and/or Mechanism
WILDERNESS EMERGENCY CARE COURSE ADVANCED FIRST AID
RESCUE DYNAMICS 5109-17A Avenue NW Edmonton, Alberta T6L 1K5 (780) 461-5040 phone / fax website: http//:www.rescuedynamics.ca WILDERNESS EMERGENCY CARE COURSE ADVANCED FIRST AID COURSE OUTLINES COURSE