Task Analysis for Paramedic Students Cowley Cowley College College Statement of Accreditation The Cowley College Paramedic Program is accredited by the Commission on Accreditation of Allied Health Education Programs (www.caahep.org) upon the recommendation of the Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions (CoAEMSP). Chris Cannon & Slade Griffiths (2011). Task Analysis for Pre-hospital Providers (5th Ed). Cowley County Community College: Arkansas City, KS. Table of Contents Bag-Valve-Mask (BVM) ................................................................................................................ 5 Retrograde Intubation ..................................................................................................................... 6 Cricothyrotomy ............................................................................................................................... 8 Transtracheal Jet Insufflation .......................................................................................................... 9 Endotracheal Intubation ................................................................................................................ 10 CowleyBlind Nasotracheal ET Intubation ................................................................................................ 12 Endotracheal Extubation ............................................................................................................... 14 Esophageal Obturator Airway (EOA) ........................................................................................... 15 Magill Forceps .............................................................................................................................. 17 Nasopharyngeal Airway ............................................................................................................... 18 Oropharyngeal Airway (OPA) ...................................................................................................... 19 Peak Expiratory Flow Rate ........................................................................................................... 20 Combitube Airway ........................................................................................................................ 21 Tracheal Suctioning ...................................................................................................................... 26 Blind Nasotracheal Suctioning ..................................................................................................... 27 Nebulized Breathing Treatment .................................................................................................... 28 Valsalva Maneuver ....................................................................................................................... 29 Carotid Sinus Massage .................................................................................................................. 30 Synchronized Cardioversion Using Paddles ................................................................................. 31 Defibrillation (Unsynchronized Countershock)College Using Paddles .................................................... 32 Remote Synchronized Cardioversion Using Fastpatch or Combo Patch ..................................... 33 Remote Defibrillation Using Fastpatch or Combo Patch ............................................................. 34 External Cardiac Pacing Using Quikpace or Combo Patch .......................................................... 35 Acquiring a 12-Lead ECG ............................................................................................................ 37 Biomedical Communications ........................................................................................................ 38 Patient Assessment -- History (SAMPLE) ................................................................................... 39 Patient Assessment – Trauma Patient ........................................................................................... 40 Patient Assessment – Medical Patient .......................................................................................... 42 Administration of Medication Through ET Tube ......................................................................... 44 External Jugular Vein Catheterization .......................................................................................... 45 IM Injection .................................................................................................................................. 46 Intracardiac Injection .................................................................................................................... 47 Pericardiocentesis ......................................................................................................................... 48 Intraosseous Infusion .................................................................................................................... 49 EZ-IO ............................................................................................................................................ 50 IV Venipuncture ........................................................................................................................... 51 SQ Injection .................................................................................................................................. 53 Air Splint Application ................................................................................................................... 54 Chest Decompression ................................................................................................................... 55 CowleyKendrick Extrication Device (KED) ............................................................................................. 56 Kansas Short Spine Board ............................................................................................................ 57 Long Spine Board Application ..................................................................................................... 58 Patient Handling ........................................................................................................................... 60 Pneumatic Anti-Shock Garment ................................................................................................... 61 Rapid Auto Extrication ................................................................................................................. 63 Rigid Splint ................................................................................................................................... 64 Sling and Swathe .......................................................................................................................... 65 HARE Traction Splint .................................................................................................................. 66 Gastric Lavage .............................................................................................................................. 67 Urinary Catheterization ................................................................................................................. 69 Nasogastric Tube .......................................................................................................................... 76 IV Medication Administration ...................................................................................................... 79 Appendix A – AHA CPR Procedures Evaluation Forms ............................................................. 80 Appendix B – First Skill Check List .............................................................................................College 82 Appendix C – Final Skill Check List ............................................................................................ 88 Appendix D – Simulated Patient Scenarios: Didactic .................................................................. 94 Appendix E – Simulated Patient Scenarios: Hospital Clinicals ................................................... 96 Appendix F – Simulated Patient Scenarios: Field Internship ....................................................... 98 To complete the paramedic course, the student must successfully* perform all designated skills found in this guide while evaluated by faculty before entering the clinical rotation and again before the conclusion of the program. *successfully is defined as: A. Skill is performed accurately. B. No main steps of skill are omitted. C. Skill performance would not cause patient harm (if applicable). CowleyWhen the student is evaluated in the clinical or field setting, preceptors should use this guide to determine competent skill performance. Note: An IV or injection attempt occurs when the needle enters the cutaneous tissue. An ET intubation attempt occurs when the blade is placed in the patient’s mouth. College Bag-Valve-Mask (BVM) Activity Critical Performance 1. Select/assemble equipment 1.1 Select bag, reservoir and proper size mask. Attach mask and reservoir to appropriate parts on bag. Insert oral airway. 1.2 Put on gloves and goggles. Cowley 2. Apply supplemental 02. 2.1 Open O2 tank by turning inlet valve counterclockwise to pressurize regulator. 2.2 Connect tubing from port on bag to connector of O2 regulator. 2.3 Set liter flow at 15 L/M by turning flow regulator valve clockwise. 3. Apply and