Medical Skill Outline PDF

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Medical Skill Outline...

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Medical Skill Outline 1

Medical Skill *15 min time limit -

Dispatch info is given *Verbalize PPE

SCENE SIZE- UP - Verbalize PENMAN - Ask proctor the questions - *“Is my scene safe?” - *“What is the MOI/ NOI”? - Make sure to write this one down on whiteboard - “How many patients?” - “Requesting ALS, if they are not needed, we can call them off” - Consider stabilization of spine PRIMARY SURVEY/RESUSCITATION - *“What’s my general impression/” - Approach patient after getting info - Determine level of consciousness AVPU - *Determine chief complaint - Ex Stomach Pain - *ABCs - Airway - “Is my patient’s airway open & clear?” - Proctor- “Patient’s airways is clear, open and maintainable” - Breathing - ask for rate, depth and quality - *Give O2 - *Justify decision - “Patient has slightly rapid, shallow breaths at a rate of 24 per minute. Admin high flow 10-15 ML/min via non-rebreather mask to help with pain and shallow breaths” - Circulation - COPS - Cap. Refill - Obvious bleeding - Treat - Pulse - Fast or slow? Thready or bounding? Regular or irregular? - Skin signs - Color, temp, moisture - 90 BPM, pink, warm to touch, sweaty -

*Rapid transport

HISTORY TAKING - History of present illness

Medical Skill Outline 2

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OPQRST Onset - Sudden or gradual? Provocation - Better or worse when ___? Quality - Quality of pain Radiation Severity - Scale of 1-10

*Time

- How long have you been feeling this pain for Past Medical History - SAMPLE - Allergies - Is there anything that you are allergic to? - Medications - Are you currently taking any medications? - Past pertinent history - Last oral intake - What was the last thing that you ate or drank? - Events leading to present illness - What were you doing before your symptoms began?

SECONDARY ASSESSMENT - Cardiovascular - Pulmonary - Listen for lung sounds - Neurological - GI/ GU - DRGERM - Observe “Do I see anything?” - Palpate “I’m going to start palpating, looking for DRGERM” - Musoskeletal - Integumentary - Reproductive - Psychological/ Social

*VITAL SIGNS -

BELLSRP - Blood Pressure

Medical Skill Outline 3

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Eyes Lung Sounds Level of Consciousness (AVPU) Skin Signs Respiration Pulse

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Give proctor your field impression - “My field impression is Appendicitis, reassess every 5 min” - OK to assume the worst

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**Interventions -

Verbalize proper interventions & treatments

REASSESSMENT - Demonstrates how & when to reassess the patient to determine change in condition -

**Radio Report* -

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Age, sex, how you found them, MCVITE - MOI/ NOI - Chief complaint - Vital signs - Injury - Treatment - ETA “19 yr old, female, found supine…...