Skills Flashcards
1
Q
Small Volume Nebulizer
A
- 5 Rights
- Mental Status
- Med Control
- Assemble
- Pour Med
- Reassemble
- Ox 6 LPM
- Remove Pt. NRB
- Pt. Exhale
- Pt. Inhale
- Cough to clear secretions
- 5-10 Replace NRB and Reassess
2
Q
12-Lead EKG Placement
A
- Paramedic Request
- R Arm - White
- L Arm - Black
- R Leg - Green
- L Leg - Red
- V1 R of Parasternal, 4th Intercostal
- V2 L of Parasternal, 4th Intercostal
- V4 L Mid-Clavicular, 5th Intercostal
- V3 between V2 and V4
- V5 along Horizontal V4, L Ant Ax
- V6 along Horizontal V4, L Mid Ax
- Attach Leads to Electrodes
3
Q
Glucometer
A
- Prepare Lancet
- Let Arm Hang at Pt. Side
- New Test Strip Insertion
- System Ready
- Clean with Alcohol, Let dry
- Squeeze 3 secs
- Prick
- Waste First Drop
- Use Second Drop
- Dispose Lancet
- Test Strip to Finger
- Value Displayed
- Test Strip Biohazard
- Band-aid
4
Q
Lung Sounds
A
- Stethoscope Placement
- Ant Up x 2
- Ant Lo x 2
- Post Up x 2
- Post Lo x 2
- Mid Ax R
- Mid Ax L - Lung Sounds
- Normal
- Stridor
- Wheezing
- Crackles
5
Q
BVM Ventilation
A
- PPE
- Responsiveness
- Additional Resources
- Check breath & pulse (simul)
- Unresponsive, Apneic, BPM Weak 60 - - Open Airway
- Mouth full of Secretions - - Prep Rigid Catheter
- Power Device
- Insert
- Suction
- Mouth & Oropharynx Clear - - Open Airway
- OPA
- No Gag Reflex & Pt. Accepts - - Ventilates No Ox
- Vent Performed Properly, No Difficulty - - Re-check Pulse
- Attach Ox 15 LPM
- Vents
- How know Proper Vents -
6
Q
Oxygen Administration
A
- PPE
- Equipment
- Crack Valve
- Regulator
- Open Valve
- Leaks?
- NRB Attachment
- Ox Prefill Reservoir
- Flow >/= 10 LPM
- Attach to Pt
7
Q
Spinal Immobilization
A
- PPE
- Neutral, In-Line Head Placement
- Maintain Stabilization
- Reassess each Extremity
- Extrication Collar
- Immobilization Device
- Pt onto Device
- Torso/Device Padding
- Evaluate Pt. Head
- Immobilize Head
- Secure Legs
- Secure Arms
- Reassess each Extremity
8
Q
IV Set-Up
A
- Gather equipment
- Remove protective wrap
- Check fluid
- Proper set
- Close regulator
- Remove protective wrap
- Remove cap
- Insert spike
- Fill drip chamber
- Flush line
9
Q
Spinal Immobilization (Supine Patient)
A
- PPE
- Head is manually maintained in neutral, in-line position
- Assess PMS
- Sizes & positions C-Collar
- Moves patient onto board without compromising spinal integrity
- Applies padding to void between torse and board as needed
- Immobilizes torso to board
- Assesses and places pads behind patient’s head as needed
- Immobilizes head to board
- Secures legs and arms to board
- Reassess PMS
10
Q
Sling and Swathe
A
- Identify need for use
- PPE
- Assess PMS (check radial)
- Position triangle bandage to cradle elbow
- Bend injured arm at elbow to at least a 90-degree angle
- Tie knot off-center while ensuring proper elevation
- Immobilize injured arm to body with second swathe
- Reassess PMS
11
Q
Pedi-Immobilizer
A
- Identify need for use
- PPE
- Assess PMS
- Apply c-collar
- Adjust harness straps for size and length of patient
- Log roll patient onto device while maintaining cervical stabilization
- Check back for injury during log roll
- Secure straps at the chest, waist, and above the knees
- Secure arms and legs with extremity straps
- Secure forehead and chin straps
- Ensure spine and airway are in neutral position
- Reassess PMS
12
Q
Traction Splint
A
- Identify (1) mid-shaft, (2) closed, (3) femur fracture with (4) no joint involvement
- PPE
- Assess PMS
- Use ankle hitch to apply manual traction until pain is reduced
- Adjust splint to the length of the uninjured side
- Position splint under injured leg with ischial pad against the “bony prominence” of the buttocks
- Raise heel stand and attach ischial strap
- Secure ankle hitch and attach “S” hook to “D” ring
- Apply mechanical traction until it equals manual traction - ensure pain is still reduced, or, for unconscious patient, ensure legs are of equal length
- Fasten support straps - two above and two below the knee
- Reassess PMS
13
Q
Scoop Stretcher
A
- Rule out spinal involvement
- PPE
- Assess PMS
- Adjust length while next to patient - ensure pins are in the locked position
- Slide each half, one at a time, under the patient
- Lock stretcher halves together
- Secure patient to stretcher with straps, first chest then legs
- Lift patient and move to stretcher
- Reassess PMS
14
Q
Joint Immobilization
A
- PPE
- Direct manual stabilization of injury
- Assess PMS
- Select appropriate splint
- Immobilize site of injury
- Immobilize bones above and below injury
- Secure entire injured extremity
- Reassess PMS
15
Q
Bleeding Control
A
- PPE
- Apply direct pressure to wound
- Apply tourniquet
- Properly position patient
- Administer high concentration oxygen
- Utilize tools to prevent heat loss
- Indicate need for immediate transport
16
Q
Kendrick Extrication Device (KED)
A
- PPE
- Manual cervical spine stabilization & Assess PMS
- Apply C-Collar
- Center KED behind patient, wrap vest around patient’s torso and armpits
- Secure torso straps: Middle - Bottom - Top
- Secure leg straps
- Secure patient head
- Secure patient’s hand together
- Transfer patient to long board while maintaining in-line stabilization
- Reassess PMS
