Paramedic: Assessment and Paramedic Clinical Foundations Essay

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PAR102 – Paramedic Clinical Foundations – Semester 2, 2013
Clinical Practice Examination: Systematic approach

Systematic Approach to Patient Assessment

Student:
Student Number:
Overall Mark:

Examiner :
2nd officer:
Concept Area and description of performance criteria

Focus points

Approach to scene
The student should describe to the examiner the use of
PPE, standard precautions and safety equipment.

Explains the use of
 standard or additional precautions
Describes the use of the following
 gloves;
 glasses;
 clothing
 helmet
 reflective vest

Pre brief
The student should describe to the examiner the concepts of a systematic pre brief.

Explains the type of information being sought in the following areas and provides professional inferences on











Concept Area and description of performance criteria
Primary survey
The student should discuss and demonstrate the primary survey with the examiner and explain their actions. 









/10

patient condition number of patients exact location time of day weather time to scene / time to hospital partner & qualifications back-up (level & time away) access and egress enquires about nearest appropriate hospital

Focus points
Explains the type of information being sought in the following areas and provides professional inferences on


TO
TAL
/6

Danger Verbalise (Assessment of hazards to self; partner patient; bystander and other emergency services)
Introduce self and partner
Takes time to observe and comment on patient’s overall presentation ( including obvious haemorrhage; patient general appearance; colour; position; immediate patient environment) Asses response ( A V P U and comment)
Inform the patient about what action is about to be done.
Airway ( Inspect airway (and/ or comment on patency)
Breathing Assess Breathing ( comment on adequate rise/ fall ; rate)
Assess Circulation (Pulse / CPR / C-spine aware)(comment on pulse reg/pace/strength)
Situation report (Comment on if back up required and why) /9

PAR102 – Paramedic Clinical Foundations – Semester 2, 2013
Clinical Practice Examination: Systematic approach
Secondary Survey in order as student deems to be appropriate but ALL must be completed.
Concept Area and description of performance criteria
Cardiovascular and Perfusion Assessment
The student should demonstrate the measurement of a cardiovascular and perfusion assessment and make comment on assessment findings with examiner.

Focus points
Explains the type of information being sought in the following areas and provides professional inferences on
 Inform the patient






Concept Area and description of performance criteria
Respiratory Assessment
The student should demonstrate the measurement of a respiratory assessment and make comment on assessment findings with examiner.
Auscultate with correct technique
Must assess at respiratory rate/rhythm and effort.

Concept Area and description of performance criteria
Basic Neurological Assessment
The student should demonstrate the measurement of a basic neurological assessment and make comment on assessment findings with examiner.
Tests the orientation of the patient by asking day, month, year and place (and make relevant to patient cognitive level )
Face symmetry
Slurred speech
Check pupil size
Check motor and sensory function

Temp
Pulse
BP
Skin
Mention GCS

Focus points
Explains the type of information being sought in the following areas and provides professional inferences on
 Inform the patient











/11

Conscious state
General appearance
Auscultation
Pulse
Effort (Resp)
Resp rate
Resp Rhythm
Speech
Skin
SpO2

Focus points
Explains the type of information being sought in the following areas and provides professional inferences on
 Inform the patient





/6

GCS: E___ / V___ /…