Paramedic thrombolysis examination checklist

Wilkes County Emergency Medical Service Advanced level practical skills examination Thrombolytic therapy
Date:
Candidate name:
Examiner signature:
Level: - EMT-P
Automatic failure = critical critera	Cumulative failure = 2
Exam series: - A - B - C - D	Time start:	Time finish:	Yes	No
Takes appropriate precautions for personal protection [may verbalize]
Assures that all steps on chest pain/suspected cardiac event protocol have been completed
Assures patient has two (2) patent IV lines or has twin catheter that is functional
Correctly interprets 12-lead ECG and transmits [may verbalize] to ED for physician review
Performs history and assessment of acute MI signs and symptoms
Repeats 12-lead ECG and correctly interprets 12-lead ECG
Performs neurological assessment for thrombolytics
Completes thrombolytic therapy screening form
Performs [may verbalize] rectal exam using hemoccult slide and developer
Contacts medical control and provides patient information and requests permission for thrombolytic therapy
Ensures that all needed adjunctive medications and therapies have been administered (according to WCEMS protocols)
Administers enoxaparin (Lovenox) with correct dosage and route according to age and weight
Properly reconstitutes tenecteplase (TNKase) for administration
Administers the correct weight-based dose of TNKase over 5 seconds
Verbalizes need for frequent assessment of patient clinical status
Verbalizes need to contact medical control for patient report and transmission of repeat 12-lead ECG to ED for review
Verbalizes need to document patient information with 12-lead ECG tracings and screening form
At the completion of test submit this form to the examination representative
Critical criteria (document rationale for critical criteria on reverse side of this form) Failure to assure two patent IV lines or one twin catheter Failure to perform a neurological assessment Failure to complete thrombolytic screening form Failure to provide all needed adjunctive medications and therapies Administers incorrect dose and or uses incorrect route of enoxaparin Administers incorrect weight based dose of TNKase Failure to verbalize need to reassess patient after enoxaparin/TNKase administration
OFFICIAL USE ONLY - DO NOT WRITE IN THIS BOX
Candidate result:			Pass	Fail
Failure due to:			Critical criteria	Cumulative
Representative:

IV: intravenous; ECG: electrocardiogram; ED: emergency department.

Courtesy of Henderson McGinnis, MD.

Graphic 63223 Version 2.0

خرید پکیج

Paramedic thrombolysis examination checklist