Covers puncture site with sterile dressing Documents time and location of injection (cc) Verbalizes need to observe patient for desired effect and adverse side effects (cc) Verbalizes the signs & symptoms of an improving patient Verbalizes the & symptoms of a worsening patient Consult with medical direction for additional doses of IM epinephrine Actual Time Ended: __________ TOTAL /33 Critical Criteria (cc #) ___ Failure to take or verbalize appropriate PPE precautions 1 ___ Failure to identify acceptable injection site 2 ___ Contaminates equipment or site without appropriately correcting situation 3 ___ Failure to adequately dispel air resulting in the potential for air embolism 4 ___ Injects improper medication or dosage 6 (wrong medication, incorrect amount, administers at an inappropriate rate) ___ Recaps needle or failure to dispose/verbalize disposal of syringe and needle in proper container 7 ___ Failure to observe the patient for desired effect and adverse side effects after administering medication 8 ___ Failure to manage the patient as a competent EMT 9 ___ Exhibits unacceptable affect with patient or other personnel 10 ___ Uses or orders a dangerous or inappropriate intervention 11 Comments: The student was Successful Unsuccessful in this
Covers puncture site with sterile dressing Documents time and location of injection (cc) Verbalizes need to observe patient for desired effect and adverse side effects (cc) Verbalizes the signs & symptoms of an improving patient Verbalizes the & symptoms of a worsening patient Consult with medical direction for additional doses of IM epinephrine Actual Time Ended: __________ TOTAL /33 Critical Criteria (cc #) ___ Failure to take or verbalize appropriate PPE precautions 1 ___ Failure to identify acceptable injection site 2 ___ Contaminates equipment or site without appropriately correcting situation 3 ___ Failure to adequately dispel air resulting in the potential for air embolism 4 ___ Injects improper medication or dosage 6 (wrong medication, incorrect amount, administers at an inappropriate rate) ___ Recaps needle or failure to dispose/verbalize disposal of syringe and needle in proper container 7 ___ Failure to observe the patient for desired effect and adverse side effects after administering medication 8 ___ Failure to manage the patient as a competent EMT 9 ___ Exhibits unacceptable affect with patient or other personnel 10 ___ Uses or orders a dangerous or inappropriate intervention 11 Comments: The student was Successful Unsuccessful in this
Intramuscular_Injection_Skill_Sheet(1).docx