Suffolk County EMS Division Prescribed Medication Assistance Training and Education Practical Skills Confirmation Nitroglycerin ______

Nitroglycerin Pass______Candidate______Evaluator______Initials______Assistance Fail______Date______Start Time______Stop Time______

YES NO Comments Assure a safe scene Body Substance Isolation Consider Additional Resources Perform Primary Assessment and obtain baseline: mental status, pupil size and respiratory rate/effort Blood Pressure MUST be 120 or higher Ask if they have taken any sexually enhanced drugs within the last 72 hours Make sure it is prescribed to the patient you are treating Check expiration date Right medication: pill or spray Deliver correct dose: 1 metered dose of Nitrogen spray or 1 Nitroglycerin 0.4mg tablet under the tongue and dissolve not chew. Max 3 doses Reassess vital signs every 2 minutes/record any changes to BP Completes the station within 5 minute time limit

Benchmark Guidelines for Training Officer Evaluation

YES NO Comments Scene Safety, BSI Gloves, Goggles, Additional resources: ALS, Law Enforcement: resources for consideration Ensure ABC, Mental Status Respiratory rate, Quality, patient airway, A& O Blood Pressure must be 120 MUST be above 120 systolic: medication lowers Blood systolic or higher Pressure, tell patient may feel dizzy, headache. Taken Sexually enhanced Viagra, Cialis, Levitra: they have potentially fatal interactions drugs within 72 hours with nitroglycerin and sildenafil (Viagra) can cause a dramatic drop in blood pressure taken together Make sure it’s the patients Make sure name on the bottle or package has the patients name medication and not someone else’s Expiration date Make sure it is NOT expired Right dosage Adult 0.3 to 0.04 ( SL), 0.4mg spray Check BP Make sure you check patients every 5 minutes Treat Accordingly Advises patient they may get headache, burning under tongue, nausea or dizzy