Integrated Management of the Apneic Patient
Candidate Name: _________________________________________ Date: ______________________
Examiner Name and Signature: _________________________________________________________
Time Started: __________ Time Ended: __________ Points: _____/14 PASS/FAIL (Circle One)
|Points Possible||Points Awarded|
|Checks Pulse & Breathing simultaneously||1|
|NOTE: After checking responsiveness, breathing and circulation for at least 5 but no more than 10 seconds, examiner informs the candidate, “The patient is unresponsive and apneic, but has a weak pulse”|
|NOTE: The examiner must now inform the candidate, “The mouth is full of secretions and vomitus.”|
|Prepares rigid suction catheter.||1|
|Turns on power to suction device.||1|
|Inserts rigid suction catheter without applying suction||1|
|Suctions the mouth and oropharynx while withdrawing catheter||1|
|NOTE: The examiner must now inform the candidate, “The mouth and oropharynx are clear.”|
|Opens the airway manually.||1|
|Inserts oropharyngeal airway.||1|
|NOTE: The examiner must now inform the candidate, “No gag reflex is present, and the patient accepts the airway adjunct.”|
|Ventilates the patient using a BVM within 30 seconds of finishing suctioning.||1|
|NOTE: The examiner must now inform the candidate that ventilation is being properly performed without difficulty.|
|Attaches the BVM assembly [mask, bag, reservoir] to oxygen [15 L/minute].||1|
|Ventilates the patient adequately:
-Proper volume to make chest rise (1 point).
-Proper rate [10 – 12/minute but not to exceed 12/minute] (1 point).
|Verbalizes need to recheck pulse for at least 5 but no more than 10 seconds every two minutes||1|
|NOTE: The examiner must now ask the candidate, “How would you know if you are delivering appropriate volumes with each ventilation?|
|Candidate responds. “By observing Chest Rise”||1|
Points Possible: 14 Total Points Awarded_______________
☐ After suctioning the patient, failure to initiate ventilations within 30 seconds or interrupts ventilations for greater than 30 seconds at any time.
☐ Failure to suction airway before ventilating the patient.
☐ Suctions the patient for an excessive and prolonged time.
☐ Failure to check responsiveness and breathing for at least 5 seconds but no more than 10 seconds.
☐ Failure to check and recheck pulse for at least 5 seconds but no more than 10 seconds.
☐ Failure to voice and ultimately provide high oxygen concentration
☐ Failure to ventilate the patient at a rate of at least 10/minute and no more than 12/minute.
☐ Failure to provide adequate volumes per breath [maximum 2 errors/minute permissible].
☐ Insertion or use of any adjunct in a manner dangerous to the patient.