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BSI Scene Safety
Takes appropriate BSI precautions
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Scene Size-Up
Determines the scene/situation is safe
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Scene Size-Up
Determines the nature of illness
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Scene Size-Up
Determines the number of patients
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Scene Size-Up
Requests additional resources as needed
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Scene Size-Up
Considers stabilization of the spine (implied it will be performed if stated by candidate)
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Primary Assessment/Resuscitation
Verbalizes general impression of the patient
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Primary Assessment/Resuscitation
Determines level of responsiveness (AVPU)/level of consciousness (orientation questions)
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Primary Assessment/Resuscitation
Determines chief complaint/apparent life threats
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Primary Assessment/Resuscitation
Airway- Opens and assesses airway
Inserts adjunct as indicated (verbalize)
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Primary Assessment/Resuscitation
Breathing
- Assures adequate ventilation
- Initiates appropriate oxygen therapy
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Primary Assessment/Resuscitation
Circulation
- Checks pulse (radial, brachial then carotid as needed, not exact rate)
- Assesses skin (color, temperature, moisture)
- Assesses/controls major bleeding at appropriate time (if present)
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Primary Assessment/Resuscitation
Identifies patient priority and makes treatment/transport decision
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Secondary Assessment
History of the Chief Complaint
- Signs and Symptoms
- Onset (Activity?, gradual/sudden?)
- Provocation (Better/Worse)
- Quality
- Region/Radiation/Recurrence
- Severity
- Time
- Special questions specific to chief complaint (minimum 2)
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Secondary Assessment
Medical History
- Allergies
- Medications
- Past pertinent history
- Last oral intake
- Events leading to present illness
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Secondary Assessment
Vital Signs- Obtains baseline vital signs using PROBELLS
A full set of vital signs will be taken on the patient by the candidate
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Secondary Assessment
Physical Exam- Rapid or Focused (whichever is appropriate based on C/C, LOC)
Visualize, Palpate, Auscultate (if indicated)
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Secondary Assessment
Additional Interventions- Obtains medical direction or verbalizes standing orders for medications or other interventions (rules out contraindications, administer or assists in administration of medications using FIVE RIGHTS)
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Reassessment
Reassess the patient- C/C, ABCs, Vital Signs, Interventions, Turnover Report
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