EMT Lesson Plans

4.19 Patient Assessment Scenario Lab I Station: Opiate Instructor Guidance

Objectives:

Demonstrate how to use the AVPU scale to test for patient responsiveness. (p 262) Demonstrate how to evaluate a patient’s orientation and document his or her status correctly. (pp 262–264) Demonstrate the techniques for assessing a patient’s airway and correctly obtaining information related to respiratory rate, rhythm, quality/character of breathing, and depth of breathing. (pp 265–269) Demonstrate how to assist a patient with ventilations using the bag-mask device for one and two rescuers. (p 354) Demonstrate how to assess a radial pulse in an unresponsive patient. (pp 270–272) Demonstrate how to obtain a pulse rate in a patient. (pp 270–272) Demonstrate how to assess capillary refill in an adult or child older than 6 years. (pp 273–274) Demonstrate the use of a pulse oximetry device to evaluate the effectiveness of oxygenation in the patient. (pp 289– 290) Demonstrate the use of electronic devices to assist in determining the patient’s blood pressure in the field. (pp 290– 291)

Demonstrate how to perform a rapid scan for injury. (pp 291–295, Skill Drill 8-2) Demonstrate how to perform a full body scan for injury. (pp 291–295, Skill Drill 8-2) Demonstrate how to measure blood pressure by auscultation. (pp 296–300, Skill Drill 8-3)

Demonstrate how to measure blood pressure by palpation. (p 300) Demonstrate the set up and administration of intra-nasal naloxone

Setup:

You will need your cohort bag and a reeves

Deployment:

DO NOT LECTURE – your students should be working hands-on within 5 minutes of arriving

Deploy your students in one team – a manikin should be patient, the rest rescuers with one team leader. The patient should sit and pretend to be collapsed on ground. Have them transition through the scenario on the back of this sheet like any other scenario from a scenario lab day.

Debriefing:

Give students feedback on the case after it is complete. Some points to discuss:

- Did they immediately assess primary assessment?

- Did they use an airway adjunct? (Probably needs one since he is snoring)

- Did they ventilate the patient?

- What were the indications for Naloxone? (shallow respirations, pinpoint pupils)

- Did they properly administer Naloxone?

- Did they continue ventilating until the patient began breathing spontaneously?