Medical Assessment Station 3B For Massachusetts Emt-Basic Practical Exam

Front 1

You have been dispatched to a scene with one patient complaining of an illness. The patient has not suffered any visible trauma. There are no mechanisms of injury. What do you do before speaking to the patient?

Back 1

"BSI, scene safety ..."

Front 2

What happens after "BSI, scene safety …?"

Back 2

Determine responsiveness, i.e., by introducing yourself and obtaining consent to treat the patient

Front 3

What happens after Determine responsiveness AKA level of consciousness?

Back 3

Assess airway and manage.

Front 4

What happens after Assess airway and manage?

Back 4

Assess breathing (rate, rhythm, and quality).

Front 5

What happens after Assess breathing rate and tidal volume?

Back 5

Initiate oxygen therapy (for example, at 15 liters per minute via a non-rebreather mask).

Front 6

What happens after Initiate oxygen therapy?

Back 6

Assess radial pulse (rate, rhythm, and quality).

Front 7

What happens after assess radial pulse?

Back 7

Assess skin color, temperature, and condition.

Front 8

What happens after Assess skin color, temperature, and condition?

Back 8

Identify the patient as a priority and verbalize the transport decision (with ALS intercept).

Front 9

What happens after Identify the patient as a priority and verbalize the transport decision?

Back 9

Obtain a history of the present illness (OPQRST)

Front 10

For what does OPQRST stand?

Back 10

Onset (when did this start); Provocation/palliation; Quality; Radiation; Severity; Time (has this happened before, etc.)

Front 11

What happens after Obtain a history of the present illness (OPQRST)

Back 11

Obtain a SAMPLE history

Front 12

For what does SAMPLE stand?

Back 12

Signs and symptoms; Allergies; Medications; Past, pertinent medical history; Last oral intake; Events leading up to the illness or injury

Front 13

What happens after Obtain a SAMPLE history?

Back 13

Perform focused physical assessment

Front 14

What happens after Perform focused physical assessment?

Back 14

Obtain baseline vital signs not yet recorded: blood pressure and pupils. (We already have pulse, respiratory rate, and skin temperature/color/condition.)

Front 15

What happens after Obtain baseline vital signs?

Back 15

Verbalize interventions. *For each intervention, state the medical order that allows you to perform that intervention.*

Front 16

What happens after Verbalize interventions?

Back 16

Verbalize ongoing assessment and frequency.

Front 17

How often should the EMT reassess a stable patient?

Back 17

Every 15 minutes

Front 18

How often should the EMT reassess an unstable patient?

Back 18

Every 5 minutes

Front 19

What happens after verbalize ongoing assessment?

Back 19

Nothing -- you are done.

Front 20

What are the 6 rights for administering a medication?

Back 20

Right patient, right medication, right route, right dose, right time (expiration and prior doses), and right documentation