EMT Lesson Plans

3.12 Pa ent Assessment Lab II Sta on: Unstable Medical Instructor Guidance Objec ves:

Demonstrate how to use the AVPU scale to test for pa ent responsiveness. (p 262) Demonstrate how to evaluate a pa ent’s orienta on and document his or her status correctly. (pp 262–264) Demonstrate the techniques for assessing a pa ent’s airway and correctly obtaining informa on related to respiratory rate, rhythm, quality/character of breathing, and depth of breathing. (pp 265–269) Demonstrate how to assess a radial pulse in a responsive pa ent and an unresponsive pa ent. (pp 270–272) Demonstrate how to obtain a pulse rate in a pa ent. (pp 270–272) Demonstrate how to assess capillary re ll in an adult or child older than 6 years. (pp 273–274) Demonstrate how to perform a rapid scan of a pa ent. (pp 275–277, Skill Drill 8-1) Demonstrate how to perform a focused exam of a pa ent Demonstrate the use of a pulse oximetry device to evaluate the e ec veness of oxygena on in the pa ent. (pp 289– 290) Demonstrate the use of electronic devices to assist in determining the pa ent’s blood pressure in the eld. (pp 290– 291) Demonstrate how to measure blood pressure by ausculta on. (pp 296–300, Skill Drill 8-3) Demonstrate how to measure blood pressure by palpa on. (p 300) Setup: You will need your cohort bag and a REEVES. Deployment: DO NOT LECTURE – your students should be working hands-on within 5 minutes of arriving Deploy your students in one team – one student should be pa ent, the rest rescuers. The pa ent should sit and pretend to be confused. Have them transi on through the scenario on the back of this sheet like any other scenario from a scenario lab day. Debrie ng: Give students feedback on the case a er it is complete. Some points to discuss: - Did they provide oxygen? Discuss non-rebreather vs. nasal cannula in the stable pa ent. - Did they do a focused secondary assessment? This pa ent should have pupils examined and a quick motor/sensory exam of the extremi es - Did they get both SAMPLE and OPQRST? - They have not learned a Cincinna stroke scale yet, so don’t hold them accountable for that..