NR-BVM Ventilation of an Apneic Patient

Question 0

Checks Responsiveness

Answer 0

Shake Patient, ask if they are ok. At least 5 but no more than 10 seconds including breathing.

Question 1

Takes or verbalizes appropriate body substance isolation precautions

Answer 1

BSI Scene Saftey

Question 2

Checks Breathing

Answer 2

Look to see if patient is breathing, Listen for breath, Feel

Question 3

Requests additional EMS assistance

Answer 3

call for backup

Question 4

Checks pulse for at least 5 but no more than 10 seconds

Answer 4

Check carotid pulse

Question 5

Opens airway properly

Answer 5

If no trauma, use head tilt, chin lift. If trauma, use jaw thrust

Question 6

Prepares rigid suction catheter

Answer 6

pull equipment out, put together

Question 7

Turns on power to suction device or retrieves manual suction device.

Answer 7

First turn on power or get manual suction device ready

Question 8

Inserts rigid suction catheter without applying suction

Answer 8

only suction on the way out of mouth

Question 9

Suctions the mouth and oropharynx

Answer 9

remove secretions and vomitus

Question 10

( examiner informs candidate “ The mouth and oropharynx are clear”)

Opens the airway manually

Answer 10

tilt head properly, open mouth check for obstructions, measure the OPA from nose to tip of ear to verify length and size.

Question 11

Examiner now informs the candidate, “No gag reflex is present and the patient accepts the airway adjunct.”

**Ventilates the patient immediately using a BVM device unattached to oxygen

**Point awarded if candidate elects to ventilate initially with BVM attached to reservoir and oxygen so long as first ventilation is delivered within 30 seconds.

Answer 11

hold the mask using the c clamp with your hand and fingers tilting the patients chin and head upward, give the ventilation about 1 second

Question 12

examiner must now inform candidate that ventilation is being properly performed without difficulty

-Checks pulse for at least 5 but no more than 10 seconds

Answer 12

check patients carotid artery for pulse 5-10 seconds

Question 13

Attaches BVM assembly (mask, bag, reservoir) to oxygen (15lpm)

Answer 13

Attach BVM, check to see the O2 rate is correct and that there are no leaks.

Question 14

Ventilates the patient adequately

• proper volume to make chest rise
• proper rate 10-12 respirations/minute but not to exceed 12/min

Examiner now asks the candidate, “ How would you know if you are delivering appropriate volumes with each ventilation?”

Answer 14

Give a ventilation every 5-6 seconds, enough to make the chest rise.
Answer the question about knowing that you are delivering appropriate volumes with each ventilation.

Want to deliver about 85% oxygen concentration

Question 15

How would you know if you are delivering appropriate volumes with each ventilation?

Answer 15

1. Ventilating the patient at a rate of 15L/min of Oxygen
2. Providing at least 85% Oxygen
3. Ventilating at a rate of 10-12 breaths/min
4. Watching for equal rise and fall of the chest
5. Watching for no stomach distention