ACLS-Brady CHECKLIST (2) PDF Performance Evaluation Checklist
Document Details
Uploaded by UsefulAluminium
Lyceum of the Philippines University
null
Tags
Summary
This document is a performance evaluation checklist for a clinical course on Advanced Cardiovascular Life Support (ACLS) focused on bradycardia management and other critical areas of cardiac care in emergency medicine. It contains areas for individual and team performance. It also includes sections related to identifying reversible causes and recognizing different conditions.
Full Transcript
FM-LPU-NRSG-06/05 College of Nursing Telephone No. (043) 723-0706 loc. 109 / 110 P...
FM-LPU-NRSG-06/05 College of Nursing Telephone No. (043) 723-0706 loc. 109 / 110 PERFORMANCE EVALUATION CHECKLIST NCM 118 – Critical Care & Emergency Nursing Advanced Cardiovascular Life Support Name of Student: ________________________________________________ Year / Clinical Group: ______________ Rating______________ Legend: 2 Progress Acceptable (Performance is usually effective and efficient) 1 Needs Improvement (Progress in performance is too slow to judge satisfactorily; task performance is not done properly for majority of the time) CRITERION PASS REPEAT REMARKS Team Leader 1. Ensure high quality CPR at all times 2. Assign team member roles 3. Ensure team members perform well Bradycardia Management 1. Start oxygen if needed, place monitor, start IV 2. Place monitor in proper position 3. Recognize symptomatic bradycardia 4. Administer correct dose of atropine 5. Prepare for second line of treatment VF/Pulseless V-tach Management 1. Recognize VF 2. Clear before analyze and shock 3. Immediately resume CPR after shocks 4. Appropriate airway management 5. Appropriate cycle of drug – rhythm check/ shock-CPR 6. Administer appropriate drug(s) and doses ASYSTOLE MANAGEMENT 1. Recognize asystole 2. Verbalize potential reversible cause of asystole/PEA/ (H’s & Ts) 3. Administer appropriate drugs and doses 4. Immediately resume CPR after rhythm checks POST CARDIAC ARREST CARE 1. Identify ROSC 2. Ensure BP, 12 lead ECG were perform, O2 sat is monitored, advance airway and waveform capnography & lab test 3. Targeted Temperature management SCORE Over-all Performance Rating ____________________ % Evaluatee: Evaluator: _________________________________ ________________________________________ Signature of Student Over Printed Name Signature of Clinical Instructor Over Printed Name Date__________________________ Date__________________________ PREPARED BY: VERIFIED BY: DR. MARIO R. MARASIGAN RN, MAN DR. BELLA P. MAGNAYE, RN, MAN Faculty Department Chairman APPROVED BY: DR. CECILIA C. PRING, RN, MAN Dean College of Nursing Capitol Site, Batangas City Telephone No. +6343 723-0706 / 2441 Fax No. 723-0595 www.lpu.edu.ph
