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HomeMy WebLinkAboutPB 405.01L REVISED 5-2015_Oral GlucosePPPEEERRRFFFOOORRRMMMAAANNNCCCEEE BBBEEENNNCCCHHHMMMAAARRRKKKSSS 404040405.01L 5.01L 5.01L 5.01L ---- Oral GlucoseOral GlucoseOral GlucoseOral Glucose 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 proper administration of oral glucose. 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 oral glucose administration. You will begin at my instruction to start. The skill will end when you have completed all of the identified steps and you tell me that you are finished. 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. Oral glucose B. Manikin C. Watch or clock which displays seconds V. V. V. V. Reference SourcesReference SourcesReference SourcesReference Sources A. Brady Prehospital, 7th edition, pages 357-360. B. AAOS, 8th edition, pages 411. [*NOTE: tongue depressor removed for benchmark] C. SOG 203.01A, SOG 203.01G. PB 405.01L – Oral Glucose Page 2 of 2 405.01L – Oral Glucose Discipline: EMT-BLS Name: Officer #: Evaluator: Officer #: Date: Location: If the First Responder: (No partial points given) a) BSI & Safety ........................................................................................................................... P/F_____ b) Avoids contamination of equipment or replaces contaminated equipment prior to use ............................................................................................................................ P/F_____ c) Confirms order (medication, dosage and route) ........................................................ P/F_____ d) Informs patient of order for medication and inquires about allergies ...................2.0 _____ e) Selects correct medication from drug box as requested by Examiner ................... P/F_____ f) Verbalizes check of medication for contamination and expiration date ...............1.0 _____ g) Informs patient of procedure of oral glucose ...............................................................1.0 _____ h) Places the tip of tube against the oral mucosa* and give medication...................1.0 _____ i) Removes tube* and monitors airway ...............................................................................2.0 _____ Time Allocation Completes skill in allotted time ................................................................................... P/F _____ Allotted time for this skill: 5 minutes 0 seconds Actual time: _____ minutes _____ seconds Points Possible Passing Score Attempt Performance Rating (Points) PASS FAIL 7 5 First Second Medical Director’s Initials DK Date 5/22/2015