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Home My WebLink AboutPB 405.01H REVISED 5-2015_Patient Assessment-MedicalPPPEEERRRFFFOOORRRMMMAAANNNCCCEEE BBBEEENNNCCCHHHMMMAAARRRKKKSSS 405.01405.01405.01405.01HHHH ---- Patient AssessmentPatient AssessmentPatient AssessmentPatient Assessment:::: MedicalMedicalMedicalMedical Anne Huff, Fire Chief Beaumont Fire-Rescue Services Discipline:Discipline:Discipline:Discipline: EMTEMTEMTEMT----BLSBLSBLSBLS Effective:Effective:Effective:Effective: 9/16/20099/16/20099/16/20099/16/2009 Revised:Revised:Revised:Revised: 5/22/20155/22/20155/22/20155/22/2015 Replaces:Replaces:Replaces:Replaces: I. I. I. I. ObjectiveObjectiveObjectiveObjective The EMT shall show how to perform a proper medical patient assessment using the criteria prescribed. II. II. II. II. Instructions Instructions Instructions Instructions –––– Procedures for Achieving the ObjectiveProcedures for Achieving the ObjectiveProcedures for Achieving the ObjectiveProcedures for Achieving the Objective You will explain and demonstrate the proper techniques for patient assessment. You will begin at my instruction to start. The skill will end when you have completed all of the identified steps and completed a proper medical patient assessment. Do you understand these instructions? III. III. III. III. EEEExaminer’s Notexaminer’s Notexaminer’s Notexaminer’s Note The EMT will not be allowed to review the performance steps at the time of evaluation. IV. IV. IV. IV. Preparation & EquipmentPreparation & EquipmentPreparation & EquipmentPreparation & Equipment A. A person to act as a patient B. Watch or clock which displays seconds V. V. V. V. Reference SourcesReference SourcesReference SourcesReference Sources A. TDSHS EMT Skills, Patient Assessment. B. TDSHS Criteria Sheet, TDSHS website. C. Brady Prehospital, 7th edition, pages 106-108. D. Brady Emergency Care, 9th edition, pages 122-126. E. SOG 203.01. PB 405.01H – Patient Assessment: Medical Page 2 of 3 405.01H – Patient Assessment: Medical Discipline: EMT-BLS Name: Officer #: Evaluator: Officer #: Date: Location: If the First Responder: a) Takes or verbalizes appropriate BSI precautions .........................................................1.0 _____ b) Determine the scene/situation is safe ...........................................................................1.0 _____ c) Determine the mechanism of injury/nature of illness .................................................1.0 _____ d) Determine the number of patients ...................................................................................1.0 _____ e) Request additional EMS assistance if necessary ...........................................................1.0 _____ f) Considers stabilization of the spine .................................................................................1.0 _____ g) Verbalizes the general impression of the patient .........................................................1.0 _____ h) Determines responsiveness/level of consciousness (AVPU) ......................................1.0 _____ i) Determine chief complaint/apparent life threats .........................................................1.0 _____ j) Assess airway and breathing: *Assessment (1) *Assures adequate ventilation (1) *Initiates appropriate oxygen therapy (1) .............................................................................................................. 3.0 _____ k) Assess circulation: *Assesses/controls major bleeding (1) *Check pulse (1) *Assesses skin [either skin color, temperature or condition] (1) .............................. 3.0 _____ l) Identify patient priority and make treatment/transport decision ..............................1.0 _____ m) History of patient illness: *Onset (1) *Quality (1) *Severity (1) *Provocation (1) *Radiation (1) *Time (1) *Clarifying questions of associated signs and symptoms related to OPQRST (2) ................................................................................... 8.0 _____ n) Past medical history: *Allergies (1) *Past pertinent history (1) *Events leading up to present illness (1) *Medications (1) *Last oral intake (1) ............ 5.0 _____ o) Assesses affected body part/system: *Cardiovascular *Neurological *Integumentary *Reproductive *Pulmonary *Musculoskeletal *GI/GU *Psychological/Social ........................................................................................................ 5.0 _____ p) Vital Signs: *BP(1) *Pulse (1) *Respiratory rate and quality (1ea) ..................... 4.0 _____ q) States field impression of patient .................................................................................1.0 _____ r) Interventions [verbalizes proper interventions/treatment] ................................ 1.0 _____ s) Demonstrates how and when to reassess the patient to determine changes in condition ........................................................................................................ 1.0 _____ t) Provide accurate verbal report to arriving EMS unit ............................................ 1.0 _____ PB 405.01H – Patient Assessment: Medical Page 3 of 3 CRITICAL CRITERIA ____ Failure to initiate or call for transport of the patient within 15 minute time limit ____ Failure to take or verbalize appropriate body substance isolation precautions ____ Failure to determine scene safety before approaching patient ____ Failure to voice and ultimately provide appropriate oxygen therapy ____ Failure to assess/provide adequate ventilation ____ Failure to find or appropriately manage problems associated with airway, breathing, hemorrhage or shock ____ Failure to differentiate patient’s need for immediate transportation versus continued assessment or treatment at the scene ____ Performs secondary examination before assessing and treating threats to airway, breathing and circulation ____ Orders a dangerous or inappropriate intervention ____ Failure to provide accurate report to arriving EMS unit ____ Failure to manage the patient as a competent EMT ____ Exhibits unacceptable affect with patient or other personnel ____ Uses or orders a dangerous or inappropriate intervention Time Allocation Completes skill in allotted time ................................................................................... P/F _____ Allotted time for this skill: 15 minutes 0 seconds Actual time: _____ minutes _____ seconds Note: Attach this page to the first. Points Possible Passing Score Attempt Performance Rating (Points) PASS FAIL 42 42 First Second Medical Director’s Initials DK Date 05/22/2015