2006-cbtskills-checksheetsrevd
2006 CBT/OTEP 434 Cardiovascular Emergencies
SKILLS CHECKLIST
Objective: Given a partner, appropriate equipment and a patient with chest pain, demonstrate appropriate
assessment and treatment as outlined in CBT/OTEP 434 and EMT Patient Care Guidelines.
SCENE SIZE-UP (must verbalize)
Additional Resources
ular
INITIAL ASSESSMENT (must verbalize)
SUBJECTIVE
Establishes rapport with patient (reassures and calms) and obtains
consent to treat (implied/actual)
Determines patient’s
chief complaint and follows
SAMPLE and
OPQRST investigation
Determines
time of onset of complaint, signs or symptoms
Obtains names/dosages of current
medications and were any taken – (e.g., Viagra, Cialis, Levitra, NTG)
OBJECTIVE (PHYSICAL EXAM)
Records and documents
baseline vital signs - listens to
lung sounds and compares sides
Performs appropriate
medical / trauma exam — exposes/checks for bleeding and/or injuries
Connects monitoring leads and monitors patient (if trained to do so and if appropriate)
Obtains second set of vital signs and compares to baseline
ASSESSMENT (IMPRESSION)
Verbalizes
impression
Determines if
ALS is needed — states rationale ___________________________________________
PLAN (TREATMENT)
CRITICAL (FAIL) CRITERIA
Indicates need for
ALS and/or
immediate transport (SICK)
DID NOT…
Administers appropriate rate and
Monitors patient’s vital signs
Take/verbalize
BSI
delivery of
oxygen (as indicated)
Considers
Index of Suspicion
Properly
positions patient
nitroglycerine (if indicated)
_____________________________(additional)
Connects
monitoring leads and
_____________________________(additional)
delivery of
oxygen
Indicate need for
ALS and/or
immediate transport (SICK)
COMMUNICATION AND DOCUMENTATION
MEETS STANDARDS (RECERT) __(o
Delivers timely and effective
short report
2nd ATTEMPT
Completes SOAP narrative portion of incident response form
2006 CBT/OTEP 442 Stroke
SKILLS CHECKLIST
Objective: Given a partner, proper equipment and a patient with s/s of a stroke, demonstrate appropriate
assessment and treatment as outlined in CBT/OTEP 442 and EMT Patient Care Guidelines.
SCENE SIZE-UP (must verbalize)
INITIAL ASSESSMENT (must verbalize)
SUBJECTIVE (FOCUSED HISTORY)
Establishes rapport with patient (reassures and calms) and obtains
consent to treat (implied/actual)
Determines patient’s
chief complaint and follows
SAMPLE and
OPQRST investigation
Determines
time of onset of complaint, signs or symptoms (appreciates 3 hr. time frame for definitive care) ___
Obtains names/dosages of current
medications
OBJECTIVE (PHYSICAL EXAM)
Records and documents
baseline vital signs
Performs appropriate
medical / trauma exam — exposes/checks for bleeding and/or injuries
Performs
Cincinnati Prehospital Stroke Scale (facial droop, arm drift and slurred speech)
Obtains second set of vital signs and compares to baseline
ASSESSMENT (IMPRESSION)
Verbalizes
impression
Determines if
ALS is needed — states rationale ___________________________________________
PLAN (TREATMENT)
CRITICAL (FAIL) CRITERIA
Indicates need for
ALS and/or
Considers
Index of Suspicion
immediate transport (SICK)
DID NOT…
Administers appropriate rate and
Glucometry/oximetry
Take/verbalize
BSI
delivery of
oxygen (as indicated)
Initiates proper
transportation
Properly
positions patient
and notification for a stroke
Performs
Cincinnati Stroke
Scale (interprets findings)
_____________________________(additional)
Monitors patient’s vital signs
_____________________________(additional)
delivery of
oxygen
Indicate need for
ALS and/or
immediate transport (SICK)
COMMUNICATION AND DOCUMENTATION
MEETS STANDARDS (RECERT) __(o
Delivers timely and effective
short report
2nd ATTEMPT
Completes SOAP narrative portion of incident response form
2006 CBT/OTEP 445 Head/Spine Injuries
SKILLS CHECKLIST
Objective: Given a partner, proper equipment and a patient with a head/spine injury, demonstrate appropriate
assessment and treatment as outlined in CBT/OTEP 445 and EMT Patient Care Guidelines.
SCENE SIZE-UP (must verbalize)
Additional Resources
Inju
INITIAL ASSESSMENT (must verbalize)
SUBJECTIVE (FOCUSED HISTORY)
Establishes rapport with patient (reassures and calms) and obtains
consent to treat (implied/actual)
Determines patient’s
chief complaint
Follows
SAMPLE and
OPQRST investigation (if possible)
Obtains names/dosages of current
medications (if possible)
OBJECTIVE (PHYSICAL EXAM)
Records and documents
baseline vital signs
Performs appropriate
medical / trauma exam - exposes/checks for bleeding and/or injuries
Notes/records any
neurologic deficits
Obtains second set of vital signs and compares to baseline
ASSESSMENT (IMPRESSION)
Verbalizes
impression
Determines if
ALS is needed — states rationale ___________________________________________
PLAN (TREATMENT)
GENERAL CARE
(Check all that apply)
CRITICAL (FAIL) CRITERIA
Indicates need for
ALS and/or
Performs proper
spinal
immediate transport (SICK)
immobilization
DID NOT…
Immediately
stabilizes the head
Initiates steps to prevent heat
Take/verbalize
BSI
in a
neutral in-line position
Administers appropriate rate and
Monitors patient vital signs
delivery of
oxygen (as indicated)
Considers
Index of Suspicion
Applies
dressing/bandage to
delivery of
oxygen
Properly
positions patient
_____________________________(additional)
Indicate need for
ALS and/or
immediate transport
COMMUNICATION AND DOCUMENTATION
MEETS STANDARDS (RECERT) ___(o
Delivers timely and effective
short report
2nd ATTEMPT
Completes SOAP narrative portion of incident response form
2006 CBT/OTEP 450 Diabetes
SKILLS CHECKLIST
Objective: Given a partner, appropriate equipment and a patient with a diabetic condition, demonstrate
appropriate assessment and treatment as outlined in CBT/OTEP 450 and EMT Patient Care Guidelines.
SCENE SIZE-UP
INITIAL ASSESSMENT
SUBJECTIVE
Establishes rapport with patient (reassures and calms) and obtains
consent to treat (implied/actual)
Determines patient’s
chief complaint and follows
SAMPLE and
OPQRST investigation
Determines
time of onset of complaint, signs or symptoms
Obtains names/dosages of current
medications and were any taken
OBJECTIVE
Records and documents
baseline vital signs - confirms patient’s
ability to swallow (as indicated)
Performs appropriate
medical / trauma exam – exposes/checks for bleeding and/or injuries
Performs
blood glucometry and records findings (if trained to do so)
Obtains second set of vital signs and compares to baseline
ASSESSMENT (IMPRESSION)
Verbalizes
impression
Determines if
ALS is needed — states rationale
___________________________________________
PLAN (TREATMENT)
CRITICAL (FAIL) CRITERIA
Indicates need for
ALS and/or
Monitors patient vital signs
immediate transport (SICK)
Considers
Index of Suspicion
DID NOT…
Administers appropriate rate and
Performs ongoing assessment
Take/verbalize
BSI
delivery of
oxygen (as indicated)
Properly
positions patient
Follows proper
“after-care”
Performs
blood glucometry
_____________________________(additional)
Provides
oral glucose
_____________________________(additional)
delivery of
oxygen
Indicate need for
ALS and/or
immediate transport (SICK)
COMMUNICATION AND DOCUMENTATION
MEETS STANDARDS (RECERT) __(o
Delivers timely and effective
short report
2nd ATTEMPT
Completes SOAP narrative portion of incident response form
2006 CBT/OTEP 930 Death and Dying
CHECKLIST
Objective: In a “roundtable” discussion group and given POLST, DNR orders or advanced directives, EMS
providers will discuss and demonstrate appropriate assessment, treatment and interaction given at least three
death and dying scenarios (to include compelling reasons, if applicable), applying the guidelines outlined in
CBT/OTEP 930 and EMT Patient Care Guidelines.
Roundtable Exercise
This exercise for CBT/OTEP 930 Death and Dying course with a roundtable discussion panel
The above individual met standards regarding specific knowledge of:
The exercise contained:
A general explanation of the physiology of death (as covered in CBT/OTEP 930)
An explanation/discussion regarding (as covered in CBT/OTEP 930)
Legal/ethical concerns (as covered in CBT/OTEP 930)
This exercise/review evaluation fulfills the practical requirements for this course.
COMMUNICATION AND DOCUMENTATION
MEETS STANDARDS (RECERT)
Delivers timely and effective
short report
2nd ATTEMPT
INFECTIOUS DISEASE
2006 CBT/OTEP 620 Infectious Disease
PROGRAM REVIEW
Objective: To fulfill the requirements of WAC 296-305-0251 which states “All firefighter/EMTs shall be required
to annually review the infectious disease information, updates, protocols, and equipment used in their
department’s infectious disease plan. Additional specific training requirements are outlined in WAC 296-823-
12005.”
The CBT/OTEP 620 Infectious Disease course was completed and the “written” exam was
completed with a score greater than 70%.
The person who conducted the required review of the department’s infectious disease policy is
knowledgeable about the program and its contents.
The review contained:
A general explanation of the epidemiology, symptoms and transmission of infectious diseases.
An explanation of the department’s exposure control plan
Information about available personal protective equipment (PPE)
Information pertaining to the reporting of an exposure
Information about post exposure evaluation and follow-up procedures following an exposure
This review fulfills the requirements set forth in WAC 296-305-0251 and WAC 296-823-12005
(It is advised that the above WACs are reviewed to assure compliance with Washington State law.)
COMMUNICATION AND DOCUMENTATION
MEETS STANDARDS (RECERT)
Delivers timely and effective
short report
2nd ATTEMPT
Completes SOAP narrative portion of incident response form
Source: http://www1.seatacfire.us/firedpt/training/Forms%20and%20Documents/EMS/2006-CBTSkills-ChecksheetsRevD.pdf
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