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Home My WebLink AboutPB 405.01I REVISED 5-2015_Patient Assessment-TraumaPPPEEERRRFFFOOORRRMMMAAANNNCCCEEE BBBEEENNNCCCHHHMMMAAARRRKKKSSS 405.01I 405.01I 405.01I 405.01I ---- Patient AssessmentPatient AssessmentPatient AssessmentPatient Assessment:::: TraumaTraumaTraumaTrauma 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. Examiner’s NoteExaminer’s NoteExaminer’s NoteExaminer’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 405.01I – Patient Assessment: Trauma Page 2 of 3 405.01I – Patient Assessment: Trauma 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) Airway: *Open and assesses airway (1) *Insert adjunct as indicated (1) ....... 2.0 _____ k) Breathing: *Assesses breathing (1) *Assures adequate ventilation (1) *Initiates appropriate oxygen therapy (1) *Manages any injury which may compromise breathing/ventilation (1)................................................. 4.0 _____ l) Circulation: *Check pulse (1) *Assesses skin [either skin color, temperature or condition] (1), *Assesses/controls major bleeding if present (1) *Initiates shock management [positions patient properly, conserves body heat] (1) ............... 4.0 _____ m) Identify patient priority and make treatment/transport decision (GCS) .......... 1.0 _____ n) History: Attempts to obtain SAMPLE history ................................................ 1.0 _____ o) Head Assessment: *Inspects and palpates scalp (1) *Assesses eyes (1) *Inspects mouth, nose, and assesses facial area (1) ................................... 3.0 _____ p) Assess Neck: *Checks position of trachea (1) *Checks jugular veins (1) *Palpates cervical spine (1) ...................................................................... 3.0 _____ q) Assess Chest: *Inspect chest (1) *Palpates chest (1) *Auscultates chest (1) .... 3.0 _____ r) Assess Abdomen/Pelvis: *Inspect and palpate abdomen (1) *Assesses pelvis (1) *Verbalizes assessment of genitalia/perineum as needed (1) ......... 3.0 _____ s) Assess Lower Extremities: *Inspects, palpates, and assesses motor, sensory, and distal circulatory functions (1) ............................................................ 2.0 _____ t) Assess Upper Extremities: *Inspects, palpates, and assesses motor, sensory, and distal circulatory functions (1) ............................................................ 2.0 _____ u) Assess Posterior Thorax, Lumbar and Buttocks: *Inspect and palpates posterior thorax (1) *Inspects and palpates lumbar and buttocks area (1) ...... 2.0 _____ v) Obtains baseline vital signs [Must include BP,P and R (1)] ........................... 1.0 _____ w) Manages secondary injuries and wounds appropriately .............................. 1.0 _____ x) Demonstrates how and when to reassess the patient .................................. 1.0 _____ PB 405.01I – Patient Assessment: Trauma Page 3 of 3 CRITICAL CRITERIA ____ Failure to initiate or call for transport of the patient within 10 minute time limit ____ Failure to take or verbalize appropriate body substance isolation precautions ____ Failure to determine scene safety ____ Failure to assess for and provide spinal protection when indicated ____ Failure to voice and ultimately provide high concentration of oxygen ____ 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/treatment at the scene ____ Performs other assessments before assessing/treating threats to airway, breathing and circulation ____ 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 5/22/2015