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National Registry of Emergency Medical Technicians Advanced Level Psychomotor Examination PATIENT ASSESSMENT - MEDICAL Candidate Examiner Date Signature Scenario Possible Points Actual Time Started T akes or verbalizes body substance isolation precautions SCENE SIZE-UP Determines the scene/situation is safe Requests additional help if necessary Considers stabilization of spine PRIMARY SURVEY Verbalizes general impression of the patient Determines responsiveness/level of consciousness Determines chief complaint/apparent life-threats Assesses airway and breathing -Assessment 1 point -Assures adequate ventilation 1 point -Initiates appropriate oxygen therapy 1 point Assesses circulation -Assesses/controls major bleeding 1 point -Assesses skin either skin color temperature or condition 1 point -Assesses pulse 1 point Identifies priority patients/makes transport decision HISTORY TAKING AND SECONDARY ASSESSMENT History of present illness -Onset 1 point -Severity 1 point -Provocation 1 point -Time 1 point -Quality 1 point -Clarifying questions of associated signs and symptoms as related to OPQRST 2 points -Radiation 1 point Past medical history -Allergies 1 point -Past pertinent history 1 point -Events leading to present illness 1 point -Medications 1 point -Last oral intake 1 point Performs secondary assessment assess affected body part/system or if indicated completes rapid assessment -Cardiovascular -Neurological -Integumentary -Reproductive -Pulmonary -Musculoskeletal -GI/GU -Psychological/Social Vital signs -Pulse 1 point -Respiratory rate and quality 1 point each -Blood pressure 1 point -AVPU 1 point Diagnostics must include application of ECG monitor for dyspnea and chest pain States field impression of patient Verbalizes treatment plan for patient and calls for appropriate intervention s Transport decision re-evaluated REASSESSMENT Repeats primary survey Repeats vital signs Evaluates response to treatments Repeats secondary assessment regarding patient complaint or injuries Actual Time Ended CRITICAL CRITERIA TOTAL Failure to initiate or call for transport of the patient within 15 minute time limit Does other detailed history or physical examination before assessing and treating threats to airway breathing and circulation Orders a dangerous or inappropriate intervention You must factually document your rationale for checking any of the above critical items on the reverse side of this form. 2011 National Registry of Emergency Medical Technicians Inc. Columbus OH All materials subject to this copyright may be photocopied for the non-commercial purpose of educational or scientific advancem ent.

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