NCM 118 ACLS Performance Evaluation Checklist
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Questions and Answers

What is one of the primary responsibilities of the team leader during CPR?

  • Perform CPR alone without team support
  • Minimize team roles to reduce confusion
  • Ensure high quality CPR at all times (correct)
  • Delay intervention until signals are clear

What should be done immediately after delivering a shock in VF management?

  • Check for signs of consciousness
  • Administer intravenous fluids
  • Resume CPR immediately (correct)
  • Conduct a thorough patient interview

Which action is appropriate for recognizing symptomatic tachycardia?

  • Encourage the patient to rest without intervention
  • Start oxygen if needed and place monitor (correct)
  • Administer high doses of sedatives
  • Ignore symptoms until further monitoring

Which of the following drug administration is crucial during PEA management?

<p>Administer epinephrine or amiodarone (C)</p> Signup and view all the answers

What is an essential step in post-cardiac arrest care?

<p>Identify ROSC and monitor vital signs such as blood pressure (A)</p> Signup and view all the answers

What is the primary goal when assigning roles to team members during a critical care scenario?

<p>To guarantee high quality CPR is maintained consistently (C)</p> Signup and view all the answers

Which step is critical for effectively managing VF (ventricular fibrillation) during a cardiac emergency?

<p>Ensuring appropriate airway management before defibrillation (D)</p> Signup and view all the answers

When faced with PEA (pulseless electrical activity), which of the following actions should be prioritized?

<p>Verbalize and identify H’s and T’s as potential causes (C)</p> Signup and view all the answers

In the context of tachycardia management, what is vital to recognize before proceeding with treatment?

<p>Symptomatic tachycardia requires distinguishing between stable and unstable patients (C)</p> Signup and view all the answers

What is an essential monitoring requirement after achieving ROSC (return of spontaneous circulation) in a patient?

<p>Perform a comprehensive assessment including BP, ECG, and oxygen saturation (B)</p> Signup and view all the answers

Flashcards

CPR Quality

Maintaining high-quality Cardiopulmonary Resuscitation (CPR) during medical emergencies.

Tachycardia Management

Steps to treat rapid heartbeats (tachycardia), including oxygen, monitor placement, IV start, and medication administration.

VF/Pulseless V-tach Recognition

Identifying Ventricular Fibrillation (VF) and Pulseless Ventricular Tachycardia (V-tach) during emergency situations.

PEA Management

Managing Pulseless Electrical Activity (PEA), a life-threatening condition where the heart isn't pumping effectively despite electrical activity.

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Post-Cardiac Arrest Care

Procedures and monitoring for patients who have experienced cardiac arrest and survived (ROSC - Return of Spontaneous Circulation).

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Team Leader Responsibilities

The team leader is responsible for ensuring high-quality CPR, assigning roles to team members, and monitoring their performance during an emergency situation.

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Tachycardia Management Steps

In managing tachycardia include: starting oxygen, placing a monitor, starting IV, recognizing symptoms, administering the correct dose of amiodarone or adenosine, and preparing for a second treatment.

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PEA Management: H's & T's

PEA management involves recognizing PEA, identifying potential reversible causes using the 'H's & T's' (Hypovolemia, Hypoxia, Hydrogen ions (acidosis), Hyperkalemia/Hypokalemia, Hypothermia, Tension pneumothorax, Tamponade (cardiac), Thrombosis (pulmonary), Toxins), administering appropriate medications, and immediately resuming CPR after rhythm checks.

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Study Notes

Performance Evaluation Checklist - NCM 118

  • Advanced Cardiovascular Life Support (ACLS) is the focus of the checklist.
  • Performance is rated as Progress, Acceptable, or Needs Improvement.
  • Team Leader criteria include ensuring high-quality CPR, assigning roles, and ensuring team members perform well.
  • Tachycardia Management involves starting oxygen, placing monitors and IVs, recognizing, and treating tachycardia using appropriate drugs (e.g., amiodarone, adenosine).
  • VF/Pulseless V-tach Management includes recognizing VF, clearing the patient, shocking, resuming CPR, managing the airway, and administering medications based on rhythm checks.
  • PEA Management involves recognizing PEA, identifying reversible causes, administering appropriate medications, and resuming CPR.
  • Post Cardiac Arrest Care includes identifying ROSC, monitoring BP and O2 saturation, performing 12-lead ECGs, advancing airways, and conducting capnography and lab tests.
  • Targeted Temperature Management is part of the care.

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Description

This quiz focuses on the performance evaluation criteria for Advanced Cardiovascular Life Support (ACLS) as outlined in NCM 118. Participants will assess skills such as tachycardia management, VF pulseless V-tach management, PEA management, and post-cardiac arrest care. Test your knowledge on critical elements required for effective ACLS response.

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