EHS 201 Intro to Trauma Objective Structured Clinical Examination PDF

**EHS 201 Intro to Trauma** **Objective Structured Clinical Examination** **\*This is an assessment instrument and not to be used as a study guide\*** +-----------+-----------+-----------+-----------+-----------+-----------+ | **SCENARI | | **Student | | |...

**EHS 201 Intro to Trauma** **Objective Structured Clinical Examination** **\*This is an assessment instrument and not to be used as a study guide\*** +-----------+-----------+-----------+-----------+-----------+-----------+ | **SCENARI | | **Student | | | | | O | | Name:** | | | | | TITLE and | | | | | | | DESCRIPTI | | | | | | | ON** | | | | | | +===========+===========+===========+===========+===========+===========+ | | | | | | | +-----------+-----------+-----------+-----------+-----------+-----------+ | | | **Student | | | | | | | Number:** | | | | +-----------+-----------+-----------+-----------+-----------+-----------+ | | | **Date:** | | | | +-----------+-----------+-----------+-----------+-----------+-----------+ | | | **Attempt | ☐ | 1ST 2ND | ☐ | | | | :** | | | | +-----------+-----------+-----------+-----------+-----------+-----------+ | | | **Results | ☐ | PASS FAIL | ☐ | | | | :** | | | | +-----------+-----------+-----------+-----------+-----------+-----------+ | | | **Examine | | | | | | | r | | | | | | | Name / | | | | | | | Staff | | | | | | | ID:** | | | | | | | | | | | | | | **Signatu | | | | | | | re:** | | | | +-----------+-----------+-----------+-----------+-----------+-----------+ +-----------------------------------------------------------------------+ | **ASSESSMENT INSTRUCTIONS READ TO STUDENT** | +=======================================================================+ | You will be assessed on your ability to competently manage a | | simulated patient for the duration of the exam. All examinations and | | treatments will be performed in real time. | | | | You will serve as the team leader and will be provided with one | | assistant that is trained to your level of care. They will act as | | your assistant but will only perform interventions you order. They | | will not perform dangerous interventions and will practice good crew | | resource management to prevent medical errors. You may ask questions | | about the scenario that is not identified on the manikin, but answers | | to questions about specific skills or treatment will not be provided. | | You may ask questions directed toward the patient or bystanders. | | Additional information may be provided where relevant and questions | | may be asked for clarification purposes. You will not receive | | prompting during this examination. | | | | This assessment is a graded examination. Minimum score overall | | (without critical fail) is 60%. If no critical criteria have been | | recorded, marks are awarded out of the possible based on the | | scenario. N/A will not be counted and will not be factored in | | possible points. If any critical criterion is recorded as a zero in | | the scoring, then any marks achieved will be voided and the | | assessment will be recorded as an automatic zero. | +-----------------------------------------------------------------------+ +-----------------------------------------------------------------------+ | **COURSE LEARNING OUTCOMES** | +=======================================================================+ | This exam will assess the following course learning outcomes: | | | | +------------------------------------------------------------------+ | | | CLO 3 Demonstrate a systematic patient assessment, formulation | | | | of differential diagnosis describing the individual's alteration | | | | in health status and their appropriate prehospital triage | | | | status. | | | | | | | | CLO 5 Demonstrate the ability to integrate the theoretical | | | | knowledge and clinical skills to the assessment and management | | | | of trauma to include clinical problem-solving and | | | | decision-making, professionalism, safety, documentation, | | | | communication and teamwork. | | | | | | | | CLO 6 Demonstrate professional affective behavior and | | | | communication when dealing with patients, family members, and | | | | other healthcare providers. | | | +------------------------------------------------------------------+ | +-----------------------------------------------------------------------+ **KEY** **SCORING** ----------------------------------- ------------------------------------------- ----- ------------------------------------------ Minor action N/A Not applicable for this scenario High Voltage Major action -- requires verbal if missed 0 Failed to demonstrate element  Critical Fail 1 Required prompting / emerging competence 2 Required no prompting / competent +-----------------+-----------------+-----------------+-----------------+ | **SCENE | SCORE | | | | SIZE-UP** | | | | +=================+=================+=================+=================+ | 1. | ***Assesses for | High Voltage | | | | and mitigates | | | | | hazards*** | | | +-----------------+-----------------+-----------------+-----------------+ | 2. | ***Applies |  | | | | protective | | | | | equipment*** | | | +-----------------+-----------------+-----------------+-----------------+ | 3. | ***Considers | | | | | resources based | | | | | on the number | | | | | and special | | | | | consideration | | | | | of | | | | | patient(s)*** | | | +-----------------+-----------------+-----------------+-----------------+ | 4. | ***Requests | High Voltage | | | | additional EMS | | | | | or other | | | | | assistance as | | | | | necessary*** | | | +-----------------+-----------------+-----------------+-----------------+ | 5. | ***Determines |  | | | | or NOI)*** | | | +-----------------+-----------------+-----------------+-----------------+ | 6. | ***Introduces | | | | | self and | | | | | crew*** | | | +-----------------+-----------------+-----------------+-----------------+ | **PRIMARY | | | | | SURVEY** | | | | +-----------------+-----------------+-----------------+-----------------+ | 1. | Expresses their | | | | | general | | | | | impression of | | | | | the patient | | | +-----------------+-----------------+-----------------+-----------------+ | 2. | Recognizes and | High Voltage | | | | manages | | | | | immediate | | | | | life-threats | | | +-----------------+-----------------+-----------------+-----------------+ | 3. | Determines |  | | | | consciousness | | | +-----------------+-----------------+-----------------+-----------------+ | 4. | Determines | | | | | chief complaint | | | | | or presenting | | | | | complaint | | | +-----------------+-----------------+-----------------+-----------------+ | 5. | Adequately | High Voltage | | | | assesses airway | | | +-----------------+-----------------+-----------------+-----------------+ | 6. | Manages issues |  | | +-----------------+-----------------+-----------------+-----------------+ | 7. | Adequately | High Voltage | | | | assesses | | | | | breathing | | | +-----------------+-----------------+-----------------+-----------------+ | 8. | Manages issues |  | | | | ventilation and | | | | | oxygenation | | | +-----------------+-----------------+-----------------+-----------------+ | 9. | Adequately | High Voltage | | | | assesses | | | | | cardiovascular | | | | | circulation | | | +-----------------+-----------------+-----------------+-----------------+ | 10. | Manages issues |  | | | | circulation | | | +-----------------+-----------------+-----------------+-----------------+ | 11. | Adequately | High Voltage | | | | assesses | | | | | altered mental | | | | | status | | | +-----------------+-----------------+-----------------+-----------------+ | 12. | Manages issues |  | | +-----------------+-----------------+-----------------+-----------------+ | 13. | Makes timely | High Voltage | | | | transport | | | | | decision based | | | | | on patient | | | | | condition | | | +-----------------+-----------------+-----------------+-----------------+ | **Hx TAKING** | | | | +-----------------+-----------------+-----------------+-----------------+ | 1. | Obtains a |  | | | | or complaint | | | +-----------------+-----------------+-----------------+-----------------+ | 2. | Obtains | High Voltage | | | | pertinent past | | | | | medical history | | | +-----------------+-----------------+-----------------+-----------------+ | 3. | Identifies |  | | | | patient | | | +-----------------+-----------------+-----------------+-----------------+ | 4. | Identifies | High Voltage | | | | allergies prior | | | | | to medication | | | | | administration | | | +-----------------+-----------------+-----------------+-----------------+ | 5. | Assesses for | | | | | pain and | | | | | determines need | | | | | for analgesia | | | +-----------------+-----------------+-----------------+-----------------+ | 6. | Obtains a | | | | | social and | | | | | family history | | | +-----------------+-----------------+-----------------+-----------------+ | **VITAL SIGNS | | | | | AND | | | | | DIAGNOSTICS** | | | | +-----------------+-----------------+-----------------+-----------------+ | 1. | Obtains |  | | +-----------------+-----------------+-----------------+-----------------+ | 2. | Obtains | | | | | supplemental | | | | | vital signs | | | +-----------------+-----------------+-----------------+-----------------+ | 3. | Provides | High Voltage | | | | continuous | | | | | monitoring of | | | | | patient as | | | | | indicated based | | | | | on patient | | | | | condition | | | +-----------------+-----------------+-----------------+-----------------+ | 4. | Completes a |  | | | | needed | | | +-----------------+-----------------+-----------------+-----------------+ | **INTERVENTIONS | | | | | ** | | | | +-----------------+-----------------+-----------------+-----------------+ | 1. | **Maintains a | High Voltage | | | | patent airway | | | | | using | | | | | appropriate | | | | | interventions | | | | | with escalation | | | | | if indicated** | | | +-----------------+-----------------+-----------------+-----------------+ | 2. | **Provides |  | | | | method if | | | | | indicated** | | | +-----------------+-----------------+-----------------+-----------------+ | 3. | **Correctly | High Voltage | | | | ventilates | | | | | patient at | | | | | appropriate | | | | | rate if | | | | | indicated** | | | +-----------------+-----------------+-----------------+-----------------+ | 4. | **Correctly |  | | | | circulation if | | | | | indicated** | | | +-----------------+-----------------+-----------------+-----------------+ | 5. | **Correctly | High Voltage | | | | obtains | | | | | vascular access | | | | | if indicated** | | | +-----------------+-----------------+-----------------+-----------------+ | 6. | **Initiates |  | | | | resuscitation | | | | | if indicated** | | | +-----------------+-----------------+-----------------+-----------------+ | 7. | **Correctly | High Voltage | | | | administers | | | | | appropriate | | | | | medications | | | | | based on | | | | | patient | | | | | condition and | | | | | indications** | | | +-----------------+-----------------+-----------------+-----------------+ | ***TOTAL | | | | | SCORE*** | | | | +-----------------+-----------------+-----------------+-----------------+ | ***POSSIBLE | | | | | SCORE*** | | | | +-----------------+-----------------+-----------------+-----------------+ **Critical Criteria** **Descriptors** ----------------- -- ------------------------------------------------------------------------------------------------------------------------ *☐* Performed a dangerous intervention/action *☐* Failed to recognize and manage immediate life-threats *☐* Failed to adequately assess airway *☐* Failed to adequately manage airway compromise *☐* Failed to adequately assess breathing *☐* Failed to manage compromised ventilation and/or oxygenation *☐* Failed to adequately assess cardiovascular circulation *☐* Failed to manage issues compromising cardiovascular circulation *☐* Failed to adequately assess altered mental status *☐* Failed to manage issues causing altered mental status *☐* Failed to recognize time critical transport *☐* Failed to inquire about allergies before administering a medication *☐* Failed to obtain necessary vital signs *☐* Failed to adequately reassess the patient *☐* Failed to maintain a patent airway or performed dangerous or inappropriate airway management *☐* Failed to adequately oxygenate patient *☐* Failed to adequately ventilate patient *☐* Failed to adequately perform cardiopulmonary resuscitation *☐* Failed to adequately manage cardiac dysrhythmias *☐* Failed to adequately manage hemorrhagic shock *☐* Failed to appropriately obtain vascular access or performed a potentially harmful procedure or technique *☐* Failed to administer the right drug, in the right dose, in the right route, at the right time, or to the right patient +-----------------------------------------------------------------------+ | **EXAMINER COMMENTS / RATIONALE** | +=======================================================================+ | | +-----------------------------------------------------------------------+ | MODERATION | +-----------------------------------------------------------------------+ | Name | | | | Staff ID | | | | Position | | | | Moderator's comments | | | | Moderated grade | | | | Pass | | | | Fail | | | | Signature | +-----------------------------------------------------------------------+