FOOTHILL COLLEGE
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 responsiveness. | 1 | |
| 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” | ||
| Opens Airway | 1 | |
| 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). |
1 | |
| 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_______________
Critical Criteria
☐ 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.
Notes: