EMT Lesson Plans

3.12 Pa ent Assessment Lab II Sta on: Stable Medical Instructor Guidance Objec ves: 1. Demonstrate how to use the AVPU scale to test for pa ent responsiveness. (p 262)

2. Demonstrate how to evaluate a pa ent’s orienta on and document his or her status correctly. (pp 262–264) 3. Demonstrate the techniques for assessing a pa ent’s airway and correctly obtaining informa on related to respiratory rate, rhythm, quality/character of breathing, and depth of breathing. (pp 265–269) 4. Demonstrate how to assess a radial pulse in a responsive pa ent and an unresponsive pa ent. (pp 270–272) 5. Demonstrate history-taking using the SAMPLE mnemonic and OPQRST mnemonic 6. Demonstrate how to measure blood pressure by ausculta on. (pp 296–300, Skill Drill 8-3) 7. Demonstrate how to measure blood pressure by palpa on. (p 300) 8. Demonstrate taking a heart rate on a pa ent 9. Demonstrate taking a breathing rate on a pa ent 10. Demonstrate how to obtain a pulse rate in a pa ent. (pp 270–272) 11. Demonstrate how to assess capillary re ll in an adult or child older than 6 years. (pp 273–274) 12. Demonstrate how to perform a focused assessment of a pa ent Setup: You will need your cohort bag and a stairchair. Deployment: DO NOT LECTURE – your students should be working hands-on within 5 minutes of arriving Deploy your students in one team – one student should be pa ent, the rest rescuers. The pa ent should sit and pretend to be short of breath. Have them transi on through the scenario on the back of this sheet like any other scenario from a scenario lab day. Debrie ng: Give students feedback on the applica on of the device a er it is complete. Some points to discuss: - Did they provide oxygen? Discuss non-rebreather vs. nasal cannula in the stable pa ent. - Did they do a focused secondary assessment? This pa ent should have at least breath sounds examined. - Did they get both SAMPLE and OPQRST - The students at this point have not learned inhaler protocol – do not hold them accountable for treatment. .