User:Marekpawlowski/SELF/Perioperative Nursing/Defibrillation with AED/Psychomotor Skills Practice Assessment
NB:
| # | Step Name | Assessment Method | 1 - Clinically Unsafe | 2 | 3 - Clinically Acceptable | 4 | 5 - Excellent/Well Above Average | Comments |
|---|---|---|---|---|---|---|---|---|
| 1 | Start chest compressions while the AED is prepared | Not Done | Done | |||||
| 2 | Power on the AED | Fails to turn on the AED or significantly delays activation, requiring prompting. | Powers on the AED promptly and follows the initial voice and visual prompts correctly. | Activates the AED immediately, follows prompts confidently, and prepares efficiently for the next step without hesitation. | ||||
| 3 | Prepare the anterior chest | Not Done | Done | |||||
| 4 | Assess for pad-placement hazards | Not Done | Done | |||||
| 5 | Apply the right upper chest pad | Places the pad in an incorrect location, with poor adhesion, or requires repeated repositioning. | Places the pad correctly below the right clavicle with secure adhesion. | Accurately identifies the anatomical landmarks and applies the pad quickly, securely, and without unnecessary interruption to CPR. | ||||
| 6 | Apply the left lateral chest pad | Places the pad in an incorrect location, too close to the first pad, or with poor adhesion. | Places the pad correctly on the left lateral chest with appropriate separation and secure adhesion. | Accurately identifies the anatomical landmarks and applies the pad efficiently while minimizing interruption to CPR. | ||||
| 7 | Connect the pads to the AED (if required) | Fails to connect the pads correctly or delays rhythm analysis because of an incomplete connection. | Correctly connects the pads and confirms the AED is ready for rhythm analysis. | Connects the pads immediately, verifies readiness without prompting, and maintains an efficient workflow. | ||||
| 8 | Clear the patient for rhythm analysis | Fails to ensure everyone is clear before rhythm analysis or communicates unclearly. | Clearly instructs everyone to stand clear and confirms that no one is touching the patient before rhythm analysis. | Performs a loud verbal command, complete visual sweep, and confidently confirms that the patient is clear before analysis begins. | ||||
| 9 | Respond to the AED prompt | Misinterprets or fails to follow the AED prompts correctly. | Correctly follows the AED prompts and performs the indicated action without prompting. | Responds immediately and confidently to every AED prompt while maintaining an efficient workflow. | ||||
| 10 | Deliver a simulated shock (if advised) | Delivers or attempts to deliver a shock without confirming that everyone is clear of the patient. | Clearly announces "Clear," confirms no one is touching the patient, and delivers the simulated shock correctly. | Performs a loud verbal warning, complete visual confirmation, obtains team acknowledgement, and delivers the simulated shock confidently without delay. | ||||
| 11 | Resume simulated chest compressions immediately | Delays resumption of chest compressions or requires prompting to continue. | Resumes simulated chest compressions immediately after rhythm analysis or simulated shock delivery. | Transitions immediately back to chest compressions with excellent coordination and virtually no unnecessary interruption. | ||||
| 12 | Continue AED-guided care | Not Done | Done |
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