Emergency Medical Technician (EMT)

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1 Emergency Medical Technician (EMT) Contest Scoring Packet Contestant Number: SkillsUSA Illinois State Leadership & Skills Conference 2018

2 Scorecard SkillsUSA Illinois Contestant Number: Event 1: Job Interview /50 Event 2: Medical Scenario - oral /250 Event 3: Airway /200 Event 4: Bleeding Control/ Shock Management /200 Event 5: Trauma Assessment /300 Resume Penalty (0 or -10) /0 Clothing Penalty (0 or -25) /0 TOTAL /1000 Tie Breaker - If you finish station 5 within 10 minutes 25 points, if completed within 11 minutes 20 points, 12 minutes 15 points, 13 minutes 10 points.

3 Job Interview Greeting and Introduction /7 Appearance/Posture/Grooming /7 Completeness and Clarity of Resume /10 Maturity: Answers to Questions /10 Presentation: Self-Confidence and Persuasiveness /5 Preparation: Knowledge of Position Applied for & Personal History /6 Personal Salesmanship /5 Penalty Resume -10 /0 Penalty Clothing -5 /0 Maximum Possible Score: 50 Total Scores: /50 Note/Comments:

4 Medical Patient Assessment Start time: Stop time Contestant # Use the following grade scale to award points unless otherwise noted in that section. 4-5 ADVANCED Has broad and deep understanding and skills, with substantial experience in this area. Can apply the competency regularly and independently and display this competency in complex, varied situations. Role model for this competency. 3 PROFICIENT Has sufficient understanding and experience to operate at a full professional level with this broad range of moderately complex situations. Can generalize basic principles to effectively function in both predictable and new situations. 2 DEVELOPING Newly developing in this area; has a general understanding of key principles but limited or no applied experience with this competency. 1 DOES NOT DEMONSTRATE Does not demonstrate this competency at the expected level. 0 DID NOT PERFORM SKILL STANDARD PRECAUTIONS Takes or verbalizes appropriate PPE precautions /5 /5 SCENE SIZE-UP Determines the scene/situation is safe /5 Determines the mechanism of injury/nature of illness /5 Determines the number of patients /5 Requests additional EMS assistance if necessary /5 Considers stabilization of the spine /5 /25 SCENE MANAGEMENT (15 possible points total. Chose one) Thoroughly assessed and took deliberate actions to control the scene 15 Assessed the scene, identified potential hazards, did not put anyone in danger 10 Incompletely assessed or managed the scene 5 Did not assess or manage the scene 0 /15

5 PRIMARY SURVEY/RESUSCITATION Verbalizes the general impression of the patient /5 Determines responsiveness/level of consciousness (AVPU) /5 Determines chief complaint/apparent life-threats /5 /15 ASSESSES AIRWAY AND BREATHING Assessment /5 Assures adequate ventilation /5 Initiates appropriate oxygen therapy /5 /15 ASSESSES CIRCULATION Assesses/controls major bleeding /5 Checks pulse /5 Assesses skin [either skin color, temperature or condition] /5 Identifies patient priority and makes treatment/transport decision /5 /20 PATIENT ASSESSMENT (15pts possible total. Choose one) Completed an organized assessment and integrated findings to expand further assessment 15 Completed primary survey and secondary assessment 10 Performed an incomplete or disorganized assessment 5 Did not complete a primary survey 0 /15 HISTORY TAKING Onset /5 Provocation /5 Quality /5 Severity /5 Radiation /5 Time /5 Clarifying questions of associated signs and symptoms related to OPQRST /10 /40

6 PAST MEDICAL HISTORY Allergies /5 Medications /5 Past pertinent history /5 Last oral intake /5 Events leading to present illness /5 /25 SECONDARY ASSESSMENT ASSESSES AFFECTED BODY PART/SYSTEM -Cardiovascular -Neurological -Integumentary -Reproductive -Pulmonary - Musculoskeletal -GI/GU -Psychological/Social /5 /5 VITAL SIGNS Blood pressure /5 Pulse /5 Respiratory rate /5 Quality /5 States field impression of patient /5 Interventions [verbalizes proper interventions/treatment] /5 /30 REASSESSMENT Demonstrates how and when to reassess the patient to determine changes in condition /5 Provides accurate verbal report to arriving EMS unit /5 /10 MANAGEMENT (15 Possible. Choose one) Managed all aspects of the patient s condition and anticipated further needs 15 Appropriately managed the patient s presenting condition 10 Performed an incomplete or disorganized management 5 Did not manage life-threatening conditions 0 /15

7 INTERPERSONAL RELATIONS (15 Possible. Choose one) Established rapport and interacted in an organized, therapeutic manner 15 Interacted and responded appropriately with patient, crew, and bystanders 10 Used inappropriate communication techniques 5 Demonstrated intolerance for patient, bystanders, and crew 0 /15 Total /250 PENALTIES Failure to initiate or call for transport of the patient within 15 minute time limit -5 Failure to take or verbalize appropriate PPE precautions -5 Failure to determine scene safety before approaching patient -5 Failure to voice and ultimately provide appropriate oxygen therapy -5 Failure to assess/provide adequate ventilation -5 Failure to find or appropriately manage problems associated with airway, breathing, hemorrhage or shock -5 Failure to differentiate patient s need for immediate transportation versus continued assessment or treatment at the scene -5 Performs secondary examination before assessing and treating threats to airway, breathing and circulation -5 Failure to manage the patient as a competent EMT -10 Exhibits unacceptable affect with patient or other personnel -5 Uses or orders a dangerous or inappropriate intervention -10 Total Penalties OVERALL Score /250

8 BVM Ventilations of an Apneic Adult Patient Start time: Stop time Contestant # Please use these guidelines when scoring below ADVANCED Has broad and deep understanding and skills, with substantial experience in this area. Can apply the competency regularly and independently and display this competency in complex, varied situations. Role model for this competency. 4-7 PROFICIENT Has sufficient understanding and experience to operate at a full professional level with this broad range of moderately complex situations. Can generalize basic principles to effectively function in both predictable and new situations. 2-3 DEVELOPING Newly developing in this area; has a general understanding of key principles but limited or no applied experience with this competency. Is capable of using this competency with coaching and support, in simple situations. 1 DOES NOT DEMONSTRATE Does not demonstrate this competency at the expected level, even with available assistance or direction from others. 0 DID NOT PERFORM SKILL Takes or verbalizes appropriate PPE precautions /10 Checks responsiveness /10 Requests additional EMS assistance /10 Checks breathing and pulse simultaneously /10 NOTE: After checking responsiveness, then checking breathing and pulse for no more than 10 seconds, examiner informs candidate, The patient is unresponsive, apneic and has a weak pulse of 60. Opens airway properly /10 NOTE: The examiner must now inform the candidate, The mouth is full of secretions and vomitus. Prepares rigid suction catheter /10 Turns on power to suction device or retrieves manual suction device /10 Inserts rigid suction catheter without applying suction /10 Suctions the mouth and oropharynx /10 NOTE: The examiner must now inform the candidate, The mouth and oropharynx are clear.

9 Opens the airway manually /10 Inserts oropharyngeal airway /10 NOTE: The examiner must now inform the candidate, "No gag reflex is present and the patient accepts the airway adjunct." **Ventilates the patient immediately using a BVM device unattached to oxygen **Award this point if candidate elects to ventilate initially with BVM attached to reservoir and oxygen so long as 1 first ventilation is delivered within 30 seconds. /10 NOTE: The examiner must now inform the candidate that ventilation is being properly performed without difficulty. Re-checks pulse for no more than 10 seconds /10 Attaches the BVM assembly [mask, bag, reservoir] to oxygen [15 L/minute] /10 Ventilates the patient adequately Proper volume to cause visible chest rise /20 Proper rate [10-12/minute (1 ventilation every 5 to 6 sec.)] Must ventilate for at least 30 sec. /20 The examiner must now ask the candidate, How would you know if you are delivering appropriate volumes with each ventilation? /20 Score Total /200 PENALTIES After suctioning the patient, failure to initiate ventilations within 30 seconds or interrupts ventilations for greater than 30 seconds at any time -10 Failure to take or verbalize appropriate PPE precautions -10 Failure to suction airway before ventilating the patient -10 Suctions the patient for an excessive and prolonged time (> 15 sec.) -10 Failure to check responsiveness, then check breathing and pulse simultaneously for no more than 10 seconds -10 Failure to voice and ultimately provide high oxygen concentration [at least 85%] -10 Failure to ventilate the patient at a rate of 10 12/minute (1 ventilation every 5 to 6 seconds) -10 Failure to provide adequate volumes per breath [maximum 2 errors/minute permissible] -10 Insertion or use of any adjunct in a manner dangerous to the patient -10 Failure to manage the patient as a competent EMT -10 Exhibits unacceptable affect with patient or other personnel -10 Uses or orders a dangerous or inappropriate intervention -10 Penalties Total OVERALL Score /200

10 Bleeding Control/Shock Management Start time Contestant # Stop time Please Use these guidelines when scoring below. 25 ADVANCED Has broad and deep understanding and skills, with substantial experience in this area. Can apply the competency regularly and independently and display this competency in complex, varied situations. Role model for this competency. 20 PROFICIENT Has sufficient understanding and experience to operate at a full professional level with this broad range of moderately complex situations. Can generalize basic principles to effectively function in both predictable and new situations. 15 DEVELOPING Newly developing in this area; has a general understanding of key principles but limited or no applied experience with this competency. 10 DOES NOT DEMONSTRATE Does not demonstrate this competency at the expected level. 0 DID NOT PERFORM SKILL SAFETY Takes or verbalizes appropriate PPE precautions /25 Applies direct pressure to the wound /25 Note: The examiner must now inform candidate that the wound continues to bleed. Applies tourniquet /50 Note: The examiner must now inform candidate that the patient is exhibiting signs and symptoms of hypoperfusion Properly position the patient /25 Administers high concentration oxygen /25 Initiates steps to prevent heat loss from the patient /25 Indicates the need for immediate transport /25 Total Points Awarded /200

11 PENALTIES Failure to take or verbalize appropriate PPE precaution -10 Failure to administer high concentration oxygen -10 Failure to control hemorrhage using correct procedures in a timely manner -10 Failure to indicate the need for immediate transportation -10 Uses or orders a dangerous or inappropriate intervention -10 Total Penalties Overall Score /200

12 Trauma Patient Assessment Start time: Stop time Contestant # Use the following scale to score candidates. 5-6 ADVANCED Has broad and deep understanding and skills, with substantial experience in this area. Can apply the competency regularly and independently and display this competency in complex, varied situations. Role model for this competency 3-4 PROFICIENT Has sufficient understanding and experience to operate at a full professional level with this broad range of moderately complex situations. Can generalize basic principles to effectively function in both predictable and new situations. 2 DEVELOPING Newly developing in this area; has a general understanding of key principles but limited or no applied experience with this competency. 1 DOES NOT DEMONSTRATE Does not demonstrate this competency at the expected level. 0 DID NOT PERFORM SKILL Takes or verbalizes appropriate PPE precautions /6 SCENE SIZE-UP Determines the scene/situation is safe /6 Determines the mechanism of injury/nature of illness /6 Determines the number of patients /6 Requests additional EMS assistance if necessary /6 Considers stabilization of the spine /6 Primary Survey/Resuscitation /6 Verbalizes general impression /6 Determines responsiveness/ Level of consciousness /6 Determines chief complaint/apparent life-threats /6 AIRWAY Opens and assess airway /6 Inserts adjunct as indicated /6

13 BREATHING Assesses breathing /6 Assures adequate ventilation /6 Initiates appropriate oxygen therapy /6 Manages any injury which may compromise breathing/ventilation /6 CIRCULATION Checks pulse /6 Assess skin (either skin color, temperature or condition) /6 Assesses for and controls major bleeding if present /6 Initiates shock management (positions patient properly, conserves body heat) /6 Identifies patient priority and makes treatment/ transport decision (based upon calculated GCS) /6 HISTORY TAKING Obtains baseline vital signs (must include BP,P and R) /6 Attempts to obtain SAMPLE history /6 SECONDARY ASSESSMENT HEAD Inspection and palpates scalp and ears /6 Assesses eyes /6 Inspects mouth, nose, and facial area /6 NECK Checks position of trachea /6 Checks jugular veins /6 Palpates cervical spine /6 CHEST Inspects chest /6 Palpates chest /6 Auscultates chest /6 ABDOMEN/PELVIS Inspects and palpates the abdomen /6 Assess pelvis /6 Verbalizes assessment of genitalia/ perineum as needed /6

14 LOWER EXTREMITIES Inspects, palpate and assess mororsensory and distal circulatory function (each leg) /12 UPPER EXTREMITIES Inspects, palpate and assess mororsensory and distal circulatory function (each arm) /12 Posterior thorax, lumbar and buttocks /6 Inspects and palpates posterior thorax /6 Inspects and palpates lumbar and buttocks areas /6 Manages secondary injuries and wounds appropriately /6 REASSESSMENT Demonstrates how and when to reassess the patient /6 Appropriate packaging of patient /6 Proper lifting techniques /6 SCENE MANAGEMENT Took appropriate steps to manage the scene and ensure safety /6 Able to give clear directions to team /6 Interacted and responded appropriately with patient, crew, and bystanders /6 Uses effective communication /6 Total Score /300 PENALTIES Failure to initiate or call for transport of the patient within 10 min time limit -10 Failure to take or verbalize appropriate PPE precautions -10 Failure to determine scene safety -10 Failure to assess for and provide spinal protection when indicated -10 Failure to voice and ultimately provide high concentration oxygen -10 Failure to find or appropriately manage problems associated with airway, breathing, hemorrhage or shock -10 Failure to differentiate patient's need for immediate transport versus continued assessment /treatment at the scene -10 Performs other assessment before assessing/treating threats to airway, breathing and circulation -10 Uses or orders a dangerous or inappropriate intervention -10 Total Penalties Overall Total /300

National Registry of Emergency Medical Technicians Emergency Medical Technician Psychomotor Examination PATIENT ASSESSMENT/MANAGEMENT TRAUMA

National Registry of Emergency Medical Technicians Emergency Medical Technician Psychomotor Examination PATIENT ASSESSMENT/MANAGEMENT TRAUMA PATIENT ASSESSMENT/MANAGEMENT TRAUMA Scenario # Note: Areas denoted by ** may be integrated within sequence of Primary Survey/Resuscitation SCENE SIZE-UP Determines the scene/situation is safe 1 Determines