Emergency Medical Technician Skills Checklist

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PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS:

Proficiency

I have never done the stated task.
I have performed the task/skill infrequently; I require more experience/practice to feel comfortable and proficient.
I have performed the task/skill several times and feel moderately comfortable functioning independently but would require a resource person nearby.
I have performed the task/skill frequently and would feel very comfortable and proficient performing it without supervision or practice.

Frequency

GENERAL SKILLS *

	SKILL		FREQUENCY
Starting a peripheral IV line
Vital signs: pulse
Vital signs: respiration
Vital signs: lung sounds
Vital signs: blood pressure
Vital signs: pulse oximetry
Bleeding control/shock management
Pneumatic anti-shock garment (MAST)
Helmet removal: football
Helmet removal: motorcycle
BLS/ACLS: cardiac arrest management (AED)
BLS/ACLS: nitroglycerin administration (NTG)
BLS/ACLS: epinephrine administration (EPI)
Adult CPR
Child CPR
Infant CPR
Adult FBAO (Foreign Body Airway Obstruction)
Child FABO
Infant FABO

OROPHARYNGEAL AIRWAY, OXYGEN, AND VENTILATION SKILLS *

	SKILL		FREQUENCY
Body substance isolation precautions
Selecting appropriately sized airway
Measuring airway
Inserting airway without pushing the tongue posteriorly
Removing oropharyngeal airway

SUCTION *

	SKILL		FREQUENCY
Turning on/preparing suction device
Assuring presence of mechanical suction
Inserting suction tip without suction
Applying suction to the oropharynx/nasopharynx

NASOPHARYNGEAL AIRWAY, OXYGEN, AND VENTILATION SKILLS *

	SKILL		FREQUENCY
Selecting appropriately sized airway
Measuring airway
Lubricating the nasal airway
Inserting the airway with bevel facing septum

BAG-VALVE-MASK/APNEIC PATIENT *

	SKILL		FREQUENCY
Taking body substance isolation precautions
Opening the airway
Inserting an airway adjunct
Selecting appropriately sized mask
Creating a proper mask-to-face seal
Ventilating patient at no less than 800ml volume
Connecting reservoir and oxygen
Adjusting liter flow to 15 liters/minute or greater

BLEEDING CONTROL/ SHOCK MANAGEMENT *

	SKILL		FREQUENCY
Applying direct pressure to the wound
Elevating extremity
Applying additional dressing to the wound
Locating and applying pressure to appropriate arterial pressure point
Wound bandaging
Proper positioning of patient
Applying high-concentration oxygen
Preventing heat loss from the patient
Indicating the need for immediate transportation

CARDIAC ARREST MANAGEMENT/ AED *

	SKILL		FREQUENCY
Turning on AED power
Attaching AED to patient
Stopping any rescuer CPR and ensuring all are clear of the patient
Initiating analysis of the rhythm
Delivering shock
Confirming effectiveness of CPR (ventilation and compressions)
Insertion of simple airway adjunct (oral/nasal airways)

IMMOBILIZATION *

	SKILL		FREQUENCY
Selecting proper splinting material
Immobilizing the site of injury
Immobilizing bone above the injured joint
Immobilizing bone below the injured joint
Reassessing motor, sensory, and circulatory function
Measuring splint
Applying splints: traction splints
Applying splints: long bone splints
Applying splints: joint injuries
Spinal immobilization: seated patient
Spinal immobilization: supine patient

SUPPLEMENTAL OXYGEN ADMINISTRATION *

	SKILL		FREQUENCY
Connecting one-way valve to mask
Attaching non-rebreather mask to oxygen
Confirming patency of patient's airway (manually or with adjunct)
Establishing proper mask-to-face seal
Ventilating a patient at the proper volume and rate
Connecting mask to high-concentration oxygen
Assembling the regulator to the tank
Checking for leaks
Checking for tank pressure
Prefilling reservoir

PAIN ASSESSMENT/MANAGEMENT *

	SKILL		FREQUENCY
Sizing up a scene: safety, nature, number of patients, etc.
Determining level of consciousness
Determining apparent life threats
Assessing airway, breathing, and circulation
Triaging patients
Obtains, or directs assistance to obtain baseline vital signs

PHYSICAL EXAMINATION FOR TRAUMA PATIENTS *

	SKILL		FREQUENCY
Assessment of the head
Assessment of the neck
Assessment of the chest
Assessment of the abdomen/pelvis
Assessment of the extremities
Assessment of the posterior: thorax, lumbar

VENTILATORY MANAGEMENT - DUAL LUMEN DEVICE *

	SKILL		FREQUENCY
Positioning patient's head properly
Performing a tongue-jaw lift
Use of Combitube
Use of PTL
Attachment of BVM to first (esophageal placement) lumen and ventilating
Attachment of BVM to the second (endotracheal placement) lumen and ventilating
Confirming of placement and ventilation through correct lumen
Securing device

VENTILATORY MANAGEMENT - ENDOTRACHEAL TUBE *

	SKILL		FREQUENCY
Ventilating immediately using a BVM device unattached to oxygen
Hyperventilating the patient with room air
Attaching oxygen reservoir to the BVM
Attaching the BVM to high-flow oxygen
Ventilating patient at the proper volume and rate
Selecting proper equipment for endotracheal intubation
Checking for cuff leaks
Checking laryngoscope operating and bulb tightness
Proper head positioning
Inserting a laryngoscope blade into patient's mouth
Elevating patient's mandible with a laryngoscope
Introduce endotracheal tube and advancing to proper depth
Inflating cuff to proper pressure
Confirming placement of endotracheal tube
Securing endotracheal tube

VENTILATORY MANAGEMENT - ESOPHAGEAL OBTURATOR AIRWAY *

	SKILL		FREQUENCY
Identifies proper equipment for insertion of EOA
Assembling the EOA
Testing cuffs for leaks
Inflating the mask
Lubricating the tube
Proper head positioning
Inserting EOA
Confirming placement of EOA

AGE SPECIFIC COMPETENCIES *

Attestation

ATTESTATION: *

I certify that the information provided above accurately reflects my experience in each of the clinical areas identified within the past three years.

If you agree with the Attestation above, please electronically sign your name. *