{"id":96516,"key":"NREMT_Skillset/CPAP_(Continuous_Positive_Airway_Pressure)_Administration/Skills_Sheet","title":"NREMT Skillset/CPAP (Continuous Positive Airway Pressure) Administration/Skills Sheet","latest":{"id":1275191,"timestamp":"2026-09-18T12:24:07Z"},"content_model":"wikitext","license":{"url":"https://www.appropedia.org/Appropedia:Copyrights","title":"CC-BY-SA-4.0"},"source":"{{NREMT notice}}\n\n{{SELF knowledge data\n| part-of = NREMT Skillset\n| parent = CPAP (Continuous Positive Airway Pressure) Administration\n}}\n\n'''FOOTHILL COLLEGE'''\n\n'''CPAP'''\n\nCandidate Name: _________________________________________ Date: ______________________\n\nExaminer Name and Signature: _________________________________________________________\n\nTime Started: __________ Time Ended: __________ Points: _____/37 PASS/FAIL (Circle One)\n\n{| class=\"wikitable compact\"\n|\n| Points Possible\n| Points Awarded\n|-\n! Prepares patient\n|              \n|\n|-\n|     Takes or verbalizes appropriate PPE precautions\n|            1\n|\n|-\n|     Assures adequate blood pressure\n|            1\n|\n|-\n|     Positions patient in a position that will optimize ease of ventilation (high Fowler’s)\n|            1\n|\n|-\n! Assesses patient to identify indications for CPAP\n|          \n|\n|-\n|     Congestive heart failure, COPD,  asthma, pneumonia, pulmonary edema, near drowning\n|            6\n|\n|-\n! Assesses patient to identify absolute contraindications for CPAP\n|          \n|\n|-\n| Unconscious/unresponsive, inability to protect airway or inability to speak, inability to sit up, respiratory arrest/agonal respirations, nausea/vomiting, hypotension (systolic blood pressure <90mmHg), suspected pneumothorax, cardiogenic shock, penetrating chest trauma, facial anomalies/trauma/burns, closed head injury, active upper GI bleeding or history of recent gastric surgery (1 pt for each assessed)\n|           12\n|\n|-\n! Relative contraindications\n|              \n|\n|-\n|          History of pulmonary fibrosis\n|            1\n|\n|-\n|          Decreased LOC\n|            1\n|\n|-\n|          Claustrophobia or unable to tolerate mask (after first 1-2 minute trial)\n|            1\n|\n|-\n! Selects, checks, assembles equipment\n|          \n|\n|-\n|     Assembles mask and tubing according to manufacturer instructions\n|            1\n|\n|-\n|     Connects CPAP unit to suitable O2 supply/ensures oxygen is flowing\n|            1\n|\n|-\n! Performs procedure\n|          \n|\n|-\n|     Places mask over mouth and nose (leaves EtCO2 nasal cannula in place)\n|            1\n|\n|-\n|     Titrates CPAP pressure (based on local protocols/device dependent)\n|            1\n|\n|-\n|     Coaches patient to breathe normally and adjust to air pressure\n|            1\n|\n|-\n! Frequently reassesses patient for desired effects/goals of CPAP\n|          \n|\n|-\n| Decreased or elimination of dyspnea, decreased respiratory rate, decreased heart rate, SpO2 >92%, stabilized blood pressure, absence of complications e.g. barotrauma and pneumothorax (1 pt for each assessed)\n|            5\n|\n|-\n! In the event of Failure to Improve:\n|          \n|\n|-\n| Should patient fail to show improvement with CPAP, asw indicated by sustained or increased heart rate, Respiratory rate or blood pressure or by a decrease in level of consciousness remove CPAP device and assist ventilations with BVM or ETI as needed\n|            3\n|\n|}\n\n                                        Points Possible: 37\t\t\t\t\t\t\t\t\t Total Points Awarded_______________\n\n'''Critical Criteria'''\n\n●      Failure to list 10 of the 15 absolute/relative contraindications\n\n●      Failure to list desired effects/Goals of CPAP\n\n●      Failure to identify potential complications (Barotrauma, Pneumothorax)\n\n●      Failure to properly assemble the device\n\n●      Failure to frequently reassess the patient after application of the CPAP device\n\n{{Page data\n| sdg = SDG03 Good health and well-being\n}}"}