EMT Curriculum

3.11.A.2 Patient Assessment Lab II Station: Stable Medical Instructor Guidance

Objectives:

1. Demonstrate how to use the AVPU scale to test for patient responsiveness. (p 262) 2. Demonstrate how to evaluate a patient’s orientation and document his or her status correctly. (pp 262–264) 3. Demonstrate the techniques for assessing a patient’s airway and correctly obtaining information related to respiratory rate, rhythm, quality/character of breathing, and depth of breathing. (pp 265–269) 4. Demonstrate how to assess a radial pulse in a responsive patient and an unresponsive patient. (pp 270–272) 5. Demonstrate history-taking using the SAMPLE mnemonic and OPQRST mnemonic 6. Demonstrate how to measure blood pressure by auscultation. (pp 296–300, Skill Drill 8-3) 7. Demonstrate how to measure blood pressure by palpation. (p 300) 8. Demonstrate taking a heart rate on a patient 9. Demonstrate taking a breathing rate on a patient 10. Demonstrate how to obtain a pulse rate in a patient. (pp 270–272) 11. Demonstrate how to assess capillary refill in an adult or child older than 6 years. (pp 273–274) 12. Demonstrate how to perform a focused assessment of a patient

Equipment: •

Cohort Bag Stairchair

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Setup:

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 patient, the rest rescuers. The patient should sit and pretend to have chest pains. Have them transition through the scenario on the back of this sheet like any other scenario from a scenario lab day.

Debriefing:

Give students feedback on the case after it is complete. Some points to discuss:

- Did they provide oxygen? Discuss non-rebreather vs. nasal cannula in the stable patient.

- Did they do a focused secondary assessment? This patient should have at least breath sounds, feet checked for edema, jugular veins checked for JVD, and chest palpation for reproducible chest pains

Did they get both SAMPLE and OPQRST?

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- The students at this point have not aspirin/nitro protocol – do not hold them accountable for treatment.

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