HomeMy WebLinkAboutPB 405.01N REVISED 5-2015_O2 via NRB MaskPPPEEERRRFFFOOORRRMMMAAANNNCCCEEE BBBEEENNNCCCHHHMMMAAARRRKKKSSS
405.01N405.01N405.01N405.01N ---- Oxygen Administration by NRB MaskOxygen Administration by NRB MaskOxygen Administration by NRB MaskOxygen Administration by NRB Mask
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 the proper way to administer oxygen via non-rebreather mask.
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 administering oxygen via
NRB mask. 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. Person to act as the patient
V. V. V. V. Reference SourcesReference SourcesReference SourcesReference Sources
A. NREMT Emergency Medical Technician Psychomotor Examination: Oxygen
Administration by Non-rebreather Mask.
PB 405.01N- Oxygen Administration by NRB Mask Page 2 of 2
405.01N – Oxygen Administration by NRB Mask
Discipline: BLS
Name: Officer #:
Evaluator: Officer #:
Date: Location:
If the First Responder:
a) Takes and verbalizes appropriate BSI precautions ............................................ P/FP/FP/FP/F _____
b) Gathers appropriate equipment ............................................................... 1.0 _____
c) Cracks valve on the oxygen tank .............................................................. 1.0 _____
d) Assembles the regulator to oxygen tank .................................................... 1.0 _____
e) Opens the oxygen tank valve ................................................................... 1.0 _____
f) Checks oxygen tank pressure ................................................................... 1.0 _____
g) Checks for leaks ..................................................................................... 1.0 _____
h) Connect NRB mask to correct port of regulator ......................................... 1.0 _____
i) Turns on oxygen flow to prefill reservoir bag .............................................. 1.0 _____
j) Adjusts regulator to assure oxygen flow rate of at last 10 L/minute .............. 1.0 _____
k) Attaches mask to patient’s face and adjusts to fit snugly ............................. 1.0 _____
CRITICAL CRITERIA
____ Failure to take or verbalize appropriate body substance isolation precautions
____ Failure to assemble the oxygen tank and regulator without leaks
____ Failure to prefill the reservoir bag
____ Failure to adjust the oxygen flow rate to the non-rebreather mask of at least 10 L/minute
____ Failure to assure a tight mask seal to patient’s face
____ 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 .....................................................................................1.0 _____
Allotted time for this skill: 5 minutes 0 seconds
Actual time: _____ minutes _____ seconds
Points
Possible
Passing
Score
Attempt
Performance Rating
(Points)
PASS
FAIL
10 10
First
Second
Medical Director’s Initials DK Date 5/22/2015