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Home My WebLink AboutPB 405.01O REVISED 5-2015_ BVM of Apneic PatientPPPEEERRRFFFOOORRRMMMAAANNNCCCEEE BBBEEENNNCCCHHHMMMAAARRRKKKSSS 405.01O 405.01O 405.01O 405.01O –––– BVM Ventilation of an Apneic PatientBVM Ventilation of an Apneic PatientBVM Ventilation of an Apneic PatientBVM Ventilation of an Apneic Patient 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 ventilate an apneic patient using a BVM 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 using a BVM with oxygen. 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. ExaminerExaminerExaminerExaminer’s Note’s Note’s Note’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 Criteria Sheet. PB 405.01O – BVM Ventilation of an Apneic Patient Page 2 of 3 405.01O – BVM Ventilation of an Apneic Patient Discipline: BLS Name: Officer #: Evaluator: Officer #: Date: Location: If the First Responder: a) Takes and verbalizes appropriate BSI precautions ............................................ 1.0 _____ b) Checks responsiveness ............................................................................... 1.0 _____ c) Checks breathing ..................................................................................... 1.0 _____ NoteNoteNoteNote: After checking responsiveness and breathing for at least 5 but no more than 10 seconds, Examiner informs the candidate, “The patient is unresponsive and apneic.” d) Request additional EMS assistance ............................................................... 1.0 _____ e) Checks pulse for at least 5 but no more than 10 seconds .................................. 1.0 _____ NoteNoteNoteNote: The Examiner must now inform the candidate, “You palpate a weak carotid pulse at a rate of 60.” f) Opens airway properly ............................................................................... 1.0 _____ NoteNoteNoteNote: The Examiner must now inform the candidate, “The mouth is full of secretions and vomitus.” g) Prepares rigid suction catheter ..................................................................... 1.0 _____ h) Turns on power to suction device or retrieves manual suction device .................... 1.0 _____ i) Inserts rigid suction catheter without applying suction ....................................... 1.0 _____ j) Suctions the mouth and oropharynx .............................................................. 1.0 _____ NoteNoteNoteNote: The Examiner must now inform the candidate, “The mouth and oropharynx are clear.” k) Opens the airway manually ........................................................................ 1.0 _____ l) Inserts oropharyngeal airway ....................................................................... 1.0 _____ NoteNoteNoteNote: The Examiner must now inform the candidate, “No gag reflex is present and the patient accepts the airway adjunct.” m) **Ventilates the patient immediately using a BVM device unattached to oxygen ...... 1.0 _____ [**Award this point if candidate elects to ventilate initially with BVM attached to reservoir and oxygen as long as first ventilation is delivered within 30 seconds.] NoteNoteNoteNote: The Examiner must now inform the candidate that ventilation is being properly performed without difficulty. n) Re-checks pulse for at least 5 but no more than 10 seconds .............................. 1.0 _____ o) Attaches the BVM assembly [mask, bag, reservoir] to oxygen [15 L/min] ............... 1.0 _____ p) Ventilates the patient adequately: *Proper volume to make chest rise (1) *Proper rate [10-12 per minute, but not to exceed 12 per minute] (1) .................. 2.0 _____ NoteNoteNoteNote: The Examiner must now ask the candidate, “How would you know if you are delivering appropriate volumes with each ventilation?” PB 405.01O – BVM Ventilation of an Apneic Patient Page 3 of 3 CRITICAL CRITERIA ____ After suctioning the patient, failure to initiate ventilations within 30 seconds or interrupts ventilations for greater than 30 seconds at any time ____ Failure to take or verbalize appropriate body substance isolation precautions ____ Failure to suction airway before ventilating the patient ____ Suctions the patient for an excessive and prolonged time ____ Failure to check responsiveness and breathing for at least 5 seconds but no more than 10 seconds ____ Failure to check pulse for at least 5 seconds but no more than 10 seconds ____ Failure to voice and ultimately provide high oxygen concentration [at least 85%] ____ Failure to ventilate the patient at a rate of at least 10/minute and no more than 12/minute ____ Failure to provide adequate volumes per breath [maximum of 2 errors per minute permissible] ____ Insertion or use of any adjunct in a manner dangerous to the patient ____ 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 .............................................................................................. n/a Allotted time for this skill: n/a Note: Attach this page to the first. Points Possible Passing Score Attempt Performance Rating (Points) PASS FAIL 17 17 First Second Medical Director’s Initials DK Date 5/22/2015