BLS for Healthcare Providers CPR Critical Skills Testing Checklist

Transcription

1 CPR Critical Skills Testing Checklist Name: Date of Test: Test Summary PASS = s all checked (done correctly) NR = Needs remediation Indicate PASS or NR: R CPR 2R CPR + AED Infant R + 2R CPR PASS NR PASS NR PASS NR Instructor s signature affirms that skills tests were done according to AHA guidelines. Instructor s Signature: Print Instructor s Name: Date: Skill Adult/Child -Rescuer CPR Skills Test Critical Performance s if done correctly Checks for response 2 Activates emergency response system/calls for AED 3 Opens airway using head tilt chin lift 4 Checks breathing 5 Gives ( second each) Checks carotid pulse 7 Locates CPR hand position Delivers first cycle of compressions at correct rate 9 Gives ( second each) 0 Delivers second cycle of compressions at correct hand position Acceptable >23 compressions Gives ( second each) The next step is done only with a manikin with a feedback device, such as a clicker or light. If no feedback manikin,. Delivers third cycle of compressions of adequate depth with full 2 chest recoil Acceptable >23 compressions PASS NR

2 Skill Adult 2-Rescuer CPR + AED Skills Test Critical Performance s Rescuer arrives with AED while CPR is in progress. Turns AED on Selects proper AED pads and places pads 2 correctly Clears victim to analyze 3 (must be visible and verbal check) Clears victim to shock/presses shock button 4 (must be visible and verbal check) Maximum time from AED arrival <90 seconds 5 Resumes chest compressions after shock if done correctly Student being tested continues chest compressions; other student does breathing with bag Test only student doing Delivers cycle of compressions at correct rate 7 Pauses to allow other rescuer to give Delivers cycle of compressions using correct hand position 9 Pauses to allow other rescuer to give Switches places with little interruption. Student being tested takes over breathing using bag Students perform 2 more cycles of CPR. Test only student giving breaths. Gives during pauses in compressions 0 using bag mask (2 cycles) PASS NR Infant - and 2-Rescuer CPR Skills Test Skill Critical Performance s if done correctly Checks for response 2 Activates emergency response system 3 Opens airway using head tilt chin lift Checks breathing 4 Gives ( second each) with visible chest 5 rise Checks brachial pulse 7 Locates CPR finger position 9 Delivers first cycle of compressions at correct rate Gives ( second each) with visible chest rise Second rescuer arrives and takes over breathing with bag Test only first rescuer. st rescuer delivers cycle of compressions at 0 correct finger position Acceptable > of 5 compressions st rescuer pauses to allow 2 nd rescuer to give st rescuer delivers cycle of compressions 2 Measure depth only if using instrumented manikin; otherwise observe that compressions are given. 3 st rescuer pauses to allow 2 nd rescuer to give Rescuers switch places with little interruption. st rescuer takes over breathing using bag Students perform 2 more cycles of CPR. Test only st rescuer. 4 st rescuer gives during pauses in compressions using bag mask (2 cycles) PASS NR RECORD ALL TEST RESULTS ON SIDE ONE.

3 Adult/Child -Rescuer CPR Check for response Tap the victim. Ask if the person is all right or OK, speaking loudly and clearly. 2 Activate emergency response/tell someone to get AED Direct someone to perform BOTH actions. 3 Open airway using head tilt chin lift Place palm of one hand on forehead. Place fingers of other hand under the lower jaw to lift the chin. Mouth is not completely closed. Obvious movement of the head back toward the hand on the forehead. 4 Check breathing Place face near the victim s nose and mouth. Look at chest. Continue for at least 5 seconds but no more than 0 seconds. 5 Give ( second each) Use pocket mask; seal mouth around tube of pocket mask and exhale Check carotid pulse Place 2 or 3 fingers of other hand on Adam s apple (windpipe) and slip fingers into the groove between Adam s apple and muscles on the side of the neck. Check pulse for at least 5 seconds but no more than 0 seconds. 7 Locate CPR hand position Place heel of one hand in the center of chest, between the nipples. Place the other hand on top of the first hand (or use second hand to grasp wrist of first hand). Extend or interlace fingers but keep them off the chest. Deliver first cycle of 30 compressions at the correct rate Kneel alongside victim and place hands in proper place on sternum. Push hard; push fast; allow chest to return to normal between 9 Give ( second each) Use pocket mask; seal mouth around tube of pocket mask and exhale 0 Deliver cycle of compressions using correct hand position Must have your hands in the correct position more than 23 times. Give ( second each) Use pocket mask; seal mouth around tube of pocket mask and exhale 2 Deliver third cycle of compressions of adequate depth with full chest return You must do at least 23 of 30 compressions correctly: adequate depth and allowing the chest to return to normal between BLS_PrctcSheets_ic.indd 4 /4/0 :30:37 AM

4 Adult 2-Rescuer CPR With AED Someone is doing CPR and you arrive with an AED. Turn AED on Stop CPR and press button to turn AED on (or make sure that AED case is open if your AED has an automatic ON feature). 2 Select proper pads and place pads correctly Recognize the difference between adult pads and child pads, select the proper pad size for the manikin, and apply the pads to the chest exactly as prescribed by the pad diagrams or AED instructions. 3 Clear victim to analyze Show a visible sign of clearing the victim along with a verbal indication of clearing the victim such as I m clear, you re clear, everybody s clear or simply Clear or similar statement with an obvious gesture to ensure that all are clear. 4 Clear victim to shock/press shock button 5 Resume chest compressions after shock Second rescuer will help perform CPR, taking over breathing and using a bag Deliver cycle of 30 compressions at the correct rate 7 Pause to allow other rescuer to give Deliver cycle of compressions using correct hand position 9 Pause to allow other rescuer to give Show a visible sign of clearing the victim along with a verbal indication of clearing the victim such as I m clear, you re clear, everybody s clear or simply Clear or similar statement with an obvious gesture to ensure that all are clear. Press shock button when prompted and after clearing. Time from arrival of AED to first shock must be less than 90 seconds. Follow AED/instructor prompts to resume CPR by getting into proper position, placing hands in proper place on the chest, and beginning chest Kneel alongside victim and place hands in proper place on sternum. Push hard; push fast; allow chest to return to normal between Must have your hands in the correct position more than 23 times. Switch places with little interruption. You take over breathing using bag Perform 2 more cycles of CPR. 0 Give during pauses in compressions using bag mask (2 cycles) Use bag mask, seal mouth properly, and squeeze bag. There should be clearly visible chest rise with each of. Breaths should take approximately second each. You may make multiple attempts to reposition head or improve seal. Repeat for 2 cycles with 2nd rescuer doing chest BLS_PrctcSheets_ic.indd 42 /4/0 :30:39 AM

5 Infant - and 2-Rescuer CPR Check for response Tap infant and shout loudly. 2 Activate emergency response system Tell bystander to activate appropriate emergency response. 3 Open airway using head tilt chin lift Push back on forehead, place fingers on the bony part of the victim s chin, and lift the victim s chin. Do not press the soft tissues of the neck or under the chin. Lift the jaw upward by bringing the chin forward. Do NOT hyperextend the neck. 4 Check breathing Place face near the victim s nose and mouth. Look at chest. Continue for at least 5 seconds but no more than 0 seconds. 5 Give ( second each) with visible chest rise Use pocket mask; seal mouth around tube of pocket mask and exhale Clearly visible chest rise occurs twice. Check brachial pulse Locate the brachial pulse in the manikin s upper arm closer to you, using the fingers to feel the pulse between the biceps muscle and the humerus. Feel pulse with gentle touch for at least 5 seconds but no more than 0 seconds. 7 Locate CPR finger position Place 2 fingers on the sternum just below the nipple line. Deliver first cycle of 30 compressions at the correct rate 9 Give ( second each) with visible chest rise Second rescuer will help perform CPR, taking over breathing and using a bag 0 Deliver second cycle of compressions using 2-thumb encircling hands technique Pause to allow 2 nd rescuer to give 2 Deliver third cycle of compressions of adequate depth with full chest recoil 3 Pause to allow 2 nd rescuer to give Use pocket mask; seal mouth around tube of pocket mask and exhale Clearly visible chest rise occurs twice. Compress chest with 2-thumb encircling hands technique over lower ½ of sternum. Push hard, push fast; allow full chest recoil between Do 30 Switch places with little interruption. You take over breathing using bag Two more CPR cycles are performed. 4 Give during pauses in compressions using bag mask (2 cycles) Use bag mask, seal mouth properly, and squeeze bag. There should be clearly visible chest rise with each of. Breaths should take approximately second each. You may make multiple attempts to reposition head or improve seal. (Sounds of leakage can be present as long as there is visible chest rise.) Repeat for 2 cycles with 2nd rescuer doing chest BLS_PrctcSheets_ic.indd 43 /4/0 :30:40 AM