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PHECCNationalQualificationinEmergencyMedicalTechnology(NQEMT)

ObjectiveStructuredClinicalExamination(OSCE)AssessmentSheets

Level4EmergencyMedicalTechnician
(EMT)
ThissectionoftheNQEMTEMTexaminationconsistsofeight(8)OSCEstationsintotal.
Primarystations
Four(4)OSCEswillbedrawnfromtheskillsobjectivesrelatingtoPHECCsEducationand
TrainingStandards,2011,LearningOutcome1,Domain1;andLearningOutcome1,Domain
2.
AND
Secondarystations
Four(4)secondaryOSCEswillbedrawnrandomlyfromtheskills&objectivesrelatingto
PHECCsEducationandTrainingStandards,2011.

Generalnotes
OSCEassessmentsheetsforinclusioninanNQEMTexaminationwillbeavailableon
www.phecc.ieforaminimumofsixty(60)dayspriortotheexamination.
Whitetextonablackbackgroundindicateseitheraninstructiontotheexaminer/candidate
orseparatestwodistinctskillsontheassessmentsheet.
SuccessfulcompletionofeachOSCErequiresthecandidatetoscore80%ofeachstations
elements.Criticalelements,whichthecandidatemustsuccessfullyachieveinorderto
successfullycompletethestation,aremarkedwithanasterisk(*)ontheassessmentsheet.
Therearenocriticalelementsonsecondaryassessmentsheets.

PrimaryAssessmentSheets

PatientAssessment

AssessmentName:
UniqueIdentifier:
Level/Section:
CurrentVersion:

VitalSigns
EMT_SSMA_P001
EMT/PatientAssessment
Version2(August2011)

CandidateNumber:
AssessmentDate:

Candidateisrequestedtodemonstratethefollowingskills.

Radialpulse
1
Locateradialartery
2
Countpulsationsforatleast15seconds(Examinertoconfirm)
3
Stateminuterate(within+/4beats/min)
4
Reportquality(strength)andrhythm(regular/irregular)

Carotidpulse
5
Locatethecarotidartery
6
Countpulsationsforatleast15seconds(Examinertoconfirm)
7
Stateminuterate(within+/4beats/min)
8
Reportquality(strength)andrhythm(regular/irregular)

CSM
9
Palpatetherelevantperipheralpulseandcountaloud/orcapillaryrefill(Examinerto
confirm)
10 Assesssensoryfunction
11 Assessmotorfunction

AVPU
12 AssesstheAVPUscale
13 Correctcategoryassigned

Respiratoryrate
14 Userecognisedtechniquetoidentifyarespiratorycycle
15 Countrespiratorycycleforatleast30seconds
16 Statetheminuterate(within+/2)
17 Reportrhythm(regular,irregular)
18 Reportquality(normal,shallow,laboured,noisy)
19 Candidatedemonstratedgoodcommunicationwithpatientduringassessment

Capillaryrefill

Examinerwillensurethepatienthasacleannailsurface
20 Explainproceduretopatient
21 Depressnailbedfor5seconds
22 Uponreleasedeterminecapillaryrefill
23 Statetoexaminercapillaryrefilltime

Stopstation
EXAMINERNOTE:
Rule:Sumline3and7=2

AssessmentName:
UniqueIdentifier:
Level/Section:
CurrentVersion:

Medical/CardiacorRespiratory
EMT_SSMA_P002
EMT/PatientAssessment
Version3(August2011)

CandidateNumber:

AssessmentDate:

CandidatewillbegivenascenarioregardingamedicalincidentThepatientisresponsive.
1
Stateinitialimpression(Verbalise)
2
Assessresponsiveness

BreathingAssessment
3
Assessbreathingeffort (Verbalise)(ExaminerNote:Examinertosupplyinformation)
4
Consideroxygentherapy

CirculationAssessment
5
Assesspulse(Quality)
6
Capillaryrefill
7
Assessmentofskin(Verbalise)

Disability
8
AVPU,PERRLasappropriate
9
Stateclinicalstatus(asperPCR)
10 Requestadvancedlifesupportattendance,asappropriate

SecondarySurvey
11 Vitalsigns(Verbalise)(ExaminerNote:Examinertosupplyinformation)

FocusedMedicalHistoryrespiratoryorcardiac
12 Onset
13 Provocation
14 Quality
15 Radiation
16 Severity
17 Time
18 Interventions

AssessHistory
19 Allergy
20 Medications
21 Lastmeal
22 Pertinentmedicalhistory
23 Events

Interventions
24 Statetreatmentplan(Verbalise)
25 Initiatecardiacmonitoring(Verbalise)
26 DetermineSpO2measurement
27 Correctpharmacologicalinterventionidentified
28 Reassesspatientsclinicalstatus
29 Candidatedemonstratedgoodcommunicationwithpatientduringassessment

Stopstation
EXAMINERNOTE:
Rule:Line4=1


AssessmentName:

InitialPatientAssessment,Trauma
Unresponsive
UniqueIdentifier:
EMT_PSTA_P001
Level/Section:
EMT/PatientAssessment
CurrentVersion:
Version3(August2011)

CandidateNumber:
AssessmentDate:

CandidatewillbegivenascenarioregardingatraumaincidentThepatientis
unresponsive
1
Checkforcatastrophichaemorrhage(Verbalise)
2
Stateinitialimpression(Verbalise)
3
Applymanualinlineimmobilisation
4
Assessresponsiveness

Airway
5
Openairwaydoesnotcompromisecspine
6
InstructassistingEMTtocontrolCSpine(ExaminerNote:AssistingEMTnowcontrolsthe
head)
7
Suctionairwayifappropriate(Verbalise)
8
Insertsairwayadjunct(Verbalise)

Breathing
9
Determinepresenceofadequateventilation(ExaminerNote:Examinertosupplyrate)
10 Observeformajorchestinjury
11 Treatmajorinjury,iffound(Verbalise)
12 ConsiderOxygentherapy

Circulation
13 Assesspulse(Quality)
14 Controlmajorbleeding,ifappropriate
15 Assessperfusion,skincolour,temperature,condition
16 Assesscapillaryrefill

ClinicalStatus
17 ClinicalstatusconditionasperPCR(Verbalise)
18 RequestALSattendance(Verbalise)

StabiliseCSpine
19 Applycervicalcollarcorrectly
20 Nounnecessaryneckmovement

LOC
21 AVPUassessment
22 Correctcategory

RapidTraumaAssessment
23 Performrapidphysicalassessment,6090seconds
24 Assessvitalsigns(Verbalise)
25 Coverpatienttominimiseheatloss
26 Performsecondarysurvey(Verbalise)

Stopstation
EXAMINERNOTE:
Rule:Line5=1

RespiratoryEmergencies


AssessmentName:
UniqueIdentifier:
Level/Section:
CurrentVersion:

Traumaairway
EMT_AAMA_P001
EMT/RespiratoryEmergencies
Version3(August2011)

CandidateNumber:
AssessmentDate:

Candidateisrequestedbyexaminertodemonstratethefollowingindividualskills.

TraumaJawThrust
1
Handpositiononjaw
2
Jawlift/openmouth
3
Headmovementminimised

OralSuctioning
4
Testsuctiondevicetoensuresuctionisbeingprovided
5
Demonstratecorrectmethodformeasurementofsuctioncatheter
6
Advancesuctiontipintomouthunderdirectvisualisation
7
Applysuction
8
Suctionisprovidedfor15secondsmaximum
9
Ensureventilationoroxygenationasappropriate

OropharyngealAirway
10 SelectappropriatesizeOPA
11 MeasureOPA
12 Openmouth
13 InsertsOPAwithtiptowardsroofofmouth
14 RotateOPA180o
15 OPAflangerestsonlips

ExaminerstatesPatientbeginstogag
16 Removesoropharyngealairway

SupraglotticAirway
17 SelectcorrectsizeSGA
18 LubricatetheSGA
19 InserttheSGAcorrectly
20 Confirmplacementbyadequatechestrise
21 SecureSGAinplace

Stopstation
EXAMINERNOTE:
Rule:Sumline2and20=2

AssessmentName:
UniqueIdentifier:
Level/Section:
CurrentVersion:

Medicalairway
EMT_AAMA_P002
EMT/RespiratoryEmergencies
Version2(August2011)

CandidateNumber:
AssessmentDate:

Candidateisrequestedbyexaminertodemonstratethefollowingindividualskills.

HeadTiltChinLift
1
Handpositionforehead
2
Handpositionchin
3
Performheadtilt/chinlift
4
Openmouth

OralSuctioning
5
Testsuctiondevicetoensuresuctionisbeingprovided
6
Demonstratecorrectmethodformeasurementofsuctioncatheter
7
Advancesuctiontipintomouthunderdirectvisualisation
8
Applysuction
9
Suctionisprovidedfor15secondsmaximum
10 Ensureventilationoroxygenationasappropriate

OropharyngealAirway
11 SelectappropriatesizeOPA
12 MeasureOPA
13 Openthemouth
14 InsertsOPAwithtiptowardsroofofmouth
15 RotateOPA180o
16 OPAflangerestsonlips

ExaminerstatesPatientbeginstogag
17 Removesoropharyngealairway

SupraglotticAirway
18 SelectcorrectsizeSGA
19 LubricatetheSGA
20 InserttheSGAcorrectly
21 Confirmplacementbyadequatechestrise
22 SecureSGAinplace

Stopstation
EXAMINERNOTE:
Rule:Sumline3and21=2

MedicalEmergencies


AssessmentName:
UniqueIdentifier:
Level/Section:
CurrentVersion:

AED/Shockable
EMT_BLSA_P001
EMT/MedicalEmergencies
Version2(August2011)

CandidateNumber:
AssessmentDate:

Thecandidateisreadascenariorelatingtoacardiacarresthe/shehaswitnessed
1
Assembleequipment(ConnectO2andreservoirtoBVM)
2
Checkresponsiveness
3
Openairway
4
Assessbreathingandpulse(510seconds)(ExaminerNote:Nobreathing,nopulse)
5
RequestALSandadditionalpersonnel
6
Preparepatientschest(Appropriatechecks)
7
Placeleftdefibrillationpadincorrectlocation
8
Placerightdefibrillationpadincorrectlocation
9
Presstoanalyse(ExaminerNote:Shockadvised)
10 CPRwhilecharging(AppropriatetoAED)
11 Defibrillate

12 CommenceCPRimmediately
13 2minutesofCPR
14 ConsiderOPA/advancedairway(Verbalise)
15 Presstoanalyse(Shockadvised)
16 CPRwhilecharging(AppropriatetoAED)
17 Defibrillate
18 ResumeCPRimmediately
19 2minutesofCPR
20 Presstoanalyse(ExaminerNote:NoShockadvised)
21 Assesspulse(ExaminerNote:PulsePresent)
22 Supportventilationwhiledelivering100%O2(Verbalise)
23 MonitorECGandSpO2(Verbalise)
24 Commenceactivecooling(Verbalise)
25 Checkwithcontrolre:theavailabilityofappropriatepractitioner(Verbalise)

Practitioneravailable/notavailable
26 Candidatemakescorrecttransportdecision
27 Duringassessmentthecandidateminimisedhandsoffchesttime
28 DuringassessmentofAEDthecandidateensuressafetyofpersonnelandothers
29 DuringassessmentofCPRthecompressionswereeffective(Rate100to120permin)
30 DuringassessmentofCPRtheventilationsmakechestrise(1secondduration)

Stopstation
EXAMINERNOTE:
Rule:Sumline27and28=2

*
*


AssessmentName:
UniqueIdentifier:
Level/Section:
CurrentVersion:

AED/NonShockable
EMT_BLSA_P002
EMT/MedicalEmergencies
Version3(August2011)

CandidateNumber:
AssessmentDate:

Thecandidateisreadascenariorelatingtoacardiacarresthe/shehasnotwitnessed
1
Assembleequipment(ConnectO2andreservoirtoBVM)
2
Checkresponsiveness
3
Turnondefibrillator(Earlyinsequence)
4
Openairway
5
Assessbreathingandpulse(510seconds)(ExaminerNote:Nobreathing,nopulse)
6
RequestALSandadditionalpersonnel
7
Preparepatientschest(Appropriatechecks)
8
Placeleftdefibrillationpadincorrectlocation
9
Placerightdefibrillationpadincorrectlocation
10 Presstoanalyse(ExaminerNote:Noshockadvised)
11 ResumeCPRimmediately
12 2minutesofCPR
13 ConsiderOPA/advancedairway(Verbalise)
14 Presstoanalyse(ExaminerNote:Noshockadvised)
15 Assesspulse(5to10sec)(ExaminerNote:NoPulse)

Candidateadvisedthatresuscitationisongoingfor20minutes
16 Checkwithcontrolre:theavailabilityofappropriatepractitioner(Verbalise)

Practitioneravailable/notavailable
17 Candidatemakescorrecttransportdecision
18 Duringassessmentthecandidateminimisedhandsoffchesttime
19 DuringassessmentofAEDthecandidateensuressafetyofpersonnelandothers
20 DuringassessmentofCPRthecompressionswereeffective(Rate100to120permin)
21 DuringassessmentofCPRtheventilationsmakechestrise(1secondduration)

Stopstation
EXAMINERNOTE:
Rule:Sumline18and19=2

*
*


AssessmentName:
UniqueIdentifier:
Level/Section:
CurrentVersion:

AdultFBAOandRecoveryPosition
EMT_FBAOA_P001
EMT/MedicalEmergencies
Version2(August2011)

CandidateNumber:
AssessmentDate:

Candidateisreadanappropriatescenario
Recoveryposition
1
Checkresponsiveness
2
Openairway
3
Checkbreathing

CandidateisadvisedPatientisbreathingadequately
4
Checkpulse

CandidateisadvisedPulsepresent
5
Inspectandprepareimmediatearea(safety)
6
Physicallyassesspatientforobjectsthatmaycauseharm
7
Removeunsafeobjectsforpatientssafety
8
Rollpatientlaterally
9
Supporttheheadaspatientisturned
10 Ensuretheuppermostarmsupportsthebody
11 Ensuretheuppermostlegsupportsthebody
12 Maintainanopenairway
13 Checkbreathing

CandidateisadvisedPatientisbreathingadequately
14 Checkpulse

CandidateisadvisedPulsepresent

FBAO
15 Confirmairwayobstruction
16 Positionandperformupto5backblows
17 Correcthandpositionduringbackblows
18 Performupto5abdominalthrusts(orchestthrustsifobese/pregnant)
19 Correcthandpositionduringthrusts
20 Continueuntileffectiveorpatientcollapse

CandidateisadvisedPatientbecomesunresponsive
21 Patientloweredsafelytotheground
22 RequestALS
23 CommenceCPRwithcompressions
24 Inspectairwaybeforeeachventilation

CandidateisadvisedTheobjecthasbecomevisible(afteronecycleapprox)
25 Performfingersweep
26 Checkbreathing
27 ConsiderO2therapy

CandidateisadvisedPatientisbreathing
28 Checkcirculation

CandidateisadvisedAdequatepulsepresent
29 DuringperformanceofCPRcompressionswereeffective

STOPSTATION
EXAMINERNOTE:
Rule:Sumline2and15=2


AssessmentName:

PaediatricFBAOandAdultRecovery
Position
UniqueIdentifier:
EMT_FBAOP_P001
Level/Section:
EMT/MedicalEmergencies
CurrentVersion:
Version3(August2011)

CandidateNumber:
AssessmentDate:

Candidateisreadanappropriatescenarioandisadvisedoftwoseparateskills

Recoveryposition
1
Checkresponsiveness
2
Openairway
3
Checkbreathing

CandidateisadvisedPatientisbreathingadequately
4
Checkpulse

CandidateisadvisedPulsepresent
5
Inspectandprepareimmediatearea(safety)
6
Physicallyassesspatientforobjectsthatmaycauseharm
7
Removeunsafeobjectsforpatientssafety
8
Rollpatientlaterally
9
Supporttheheadaspatientisturned
10 Ensuretheuppermostarmsupportsthebody
11 Ensuretheuppermostlegsupportsthebody
12 Maintainanopenairway
13 Checkbreathing

CandidateisadvisedPatientisbreathingadequately
14 Checkpulse

CandidateisadvisedPulsepresent

PaediatricFBAO
15 Confirmairwayobstruction
16 Positionandperformupto5backblows
17 Correcthandpositionduringbackblows
18 Performupto5abdominalthrusts(orchestthrustsoninfant)
19 Correcthandpositionduringthrusts
20 Continueuntileffectiveorpatientcollapse

CandidateisadvisedPatientbecomesunresponsive
21 Patientloweredsafelytotheground
22 RequestALS
23 Inspectairwayandremoveifvisualised
24 Attemptupto5rescuebreaths
25 CommenceCPRwithcompressions
26 Inspectairwaybeforeeachventilation

CandidateisadvisedTheobjecthasbecomevisible(afteronecycleapprox)
27 Performfingersweep
28 Checkbreathing

CandidateisadvisedPatientisbreathing
29 ConsiderO2therapy
30 Checkcirculation

CandidateisadvisedAdequatepulsepresent
31 DuringperformanceofCPRcompressionswereeffective

STOPSTATION
EXAMINERNOTE:
Rule:Sumline2and15=2

Trauma


AssessmentName:
UniqueIdentifier:
Level/Section:
CurrentVersion:

HaemorrhageControl
EMT_EHA_P001
EMT/Trauma
Version2(August2011)

CandidateNumber:
AssessmentDate:

Thecandidateisgivenascenariorelatingtoapatientwhohasalimbinjurywith
significantbloodloss
1
Positionpatientsitting/lying
2
Examinewound
3
Elevatetheextremity
4
Applysecuresteriledressingtothewound

ExaminerstatesWoundisstillbleeding
5
Applyadditionaldressing(s)

ExaminerstatesBleedinghasstopped,howeverthepatientisincompensatoryshock
6
ApplyOxygenviaappropriatedeliverymask
7
Appropriatepatientposition
8
Preventheatloss

Examinerstatesthevictimisindecompensatedshock
9
Assessthatdressing/bandagesarecontrollinghaemorrhage
10 SpO2andECGMonitor(Verbalise)
11 StateclinicalstatusasperPCR
12 AdviseTransportandtreat
13 Candidatedemonstratedgoodcommunicationwithpatientduringassessment
14 CSMsappropriatelyassessedduringassessment

Stopstation
EXAMINERNOTE:
Rule:Line4=1

PaediatricEmergencies


AssessmentName:

InitialPatientAssessment,Trauma
Unresponsive
EMT_PSMP_P001
EMT/PaediatricEmergencies
Version3(August2011)

UniqueIdentifier:
Level/Section:
CurrentVersion:

CandidateNumber:

AssessmentDate:

CandidatewillbegivenascenarioregardingatraumaincidentThepatientis
unresponsive
1
Stateinitialimpression(Verbalise)
2
Applymanualinlineimmobilisation
3
Assessresponsiveness(Unresponsive)

Airway
4
Openairwaydoesnotcompromisecspine
5
InstructassistingEMTtocontrolCSpine(ExaminerNote:AssistingEMTnowcontrols
thehead)
6
Suctionairwayifappropriate(Verbalise)
7
Insertsairwayadjunct(Verbalise)

Breathing
8
Determinepresenceofadequateventilation(ExaminerNote:Examinertosupplyrate)
9
Observeformajorchestinjury
10 Treatmajorinjury,iffound(Verbalise)
11 ConsiderOxygentherapy

Circulation
12 Assesspulse(Quality)
13 Controlmajorbleedingifappropriate
14 Assessperfusion,skincolour,temp,condition
15 Assesscapillaryrefill

ClinicalStatus
16 ClinicalstatusconditionasperPCR(Verbalise)
17 RequestALSattendance(Verbalise)

StabiliseCSpine
18 Applycervicalcollarcorrectly
19 Nounnecessaryneckmovement

LOC
20 AVPU

RapidTraumaAssessment
21 Performrapidphysicalassessment,6090seconds
22 Assessvitalsigns(Verbalise)
23 Coverpatienttominimiseheatloss
24 Performsecondarysurvey(Verbalise)

Stopstation
EXAMINERNOTE:
Rule:Line4=1

SecondaryAssessmentSheets

IntroductiontoPreHospitalCare

PatientAssessment

AssessmentName:
UniqueIdentifier:
Level/Section:
CurrentVersion:

VitalSigns
EMT_SSMA_S001
EMT/PatientAssessment
Version3(August2011)

CandidateNumber:
AssessmentDate:

Candidateisaskedtoassessapatientforresponsiveness.

AVPU
1
Assessresponsivenessverbally
2
Assessresponsivenessbyapplyingalowlevelofpain
3
AssignthepatientcorrectcategoryontheAVPUscale

Pupilassessment(Thepatientwillberesponsivefortheremainderofthisassessment)
4
Explainproceduretothepatient
5
Determinesizeofpupil1
6
Determinereactionofpupil1tolight
7
Determinereactionofpupil2toilluminationofpupil1
8
Determinesizeofpupil2
9
Determinereactionofpupil2tolight
10 Determinereactionofpupil1toilluminationofpupil2
11 Stateconditionofpupils

Examinerwillshowcandidatepictureofpupils.Candidatetostatecommoncauseof
pupilappearance
12 Describepupilsaspresented

BloodPressure
13 Explainsproceduretothepatient
14 PlaceBPcuffaroundthepatientsupperarm
15 Placethediaphragmofthestethoscopeovertheareaofthebrachialartery
16 Inflatethecufftoatleast20mmHgabovepointwhenpulsesoundsdisappear
17 Deflatethecuffslowly
18 Reporttheobtainedmeasurement

Temperature
19 Switchontympanicthermometer
20 Placedisposableprobecoveronearpiece
21 Explainproceduretopatient
22 Insertthermometerintoear
23 Removethermometeratappropriatemoment
24 Statepatientstemperature
25 Disposeofcoverinappropriatebin

Communication
26 Candidatedisplayedgoodcommunicationwithpatientthroughoutassessment

Stopstation
EXAMINERNOTE:

MedicalEmergencies

AssessmentName:
UniqueIdentifier:
Level/Section:
CurrentVersion:

AlteredLevelofConsciousness(ALOC)
EMT_ALOCA_S001
EMT/MedicalEmergencies
Version1(July2009)

CandidateNumber:
AssessmentDate:

Candidateisreadascenariowhichrelatestoamedicalcasetheprimarysurveyhasbeen
completedthepatienthasanalteredlevelofconsciousnessandisV,PorUonthe
AVPUscale.

InitialAssessmentcompletedABCintact
1
Initialimpression
2
Maintainairway
3
AVPUassessment
4
CorrectAVPUassessment

PorUrequestALSorVconsiderParamedic
5
Correctassistancerequestmade
6
Placepatientinrecoveryposition
7
ObtainSAMPLEhistoryfrombystander(Verbalise)
8
ApplyECG(Verbalise)
9
ApplySpO2(Verbalise)
10 Assesstemperature
11 Assesspupils
12 Assessforskinrash
13 Assessformedicationcarried
14 Assessformedicationalertjewellery

BloodGlucose
15 Preparetestsite
16 Confirmglucometerreading(ExaminerNote:Examinersupplyreading)

Candidateidentifiesprovisionalworkingdiagnosis
17 Correctworkingdiagnosisidentified
18 Candidatedemonstratedgoodcommunicationwithpatientduringassessment

Stopstation
EXAMINERNOTE:

AssessmentName:
UniqueIdentifier:
Level/Section:
CurrentVersion:

CardiacChestPain/Pharmacology
EMT_CCPACS_S001
EMT/MedicalEmergencies
Version2(August2011)

CandidateNumber:
AssessmentDate:

Thecandidateisreadascenarioregardingapatientwhosechiefcomplaintischestpain.
1
Assessairway
2
Assessbreathing
3
ConsiderO2Administration
4
Correctdose(Verbalise)
5
Assesscirculation
6
Initialclinicalimpression
7
RequestALSattendance

FocussedHistoryandPhysicalExamination
8
Placepatientinpositionofcomfort
9
Providereassurance
10 Assessskincolour,temperatureandcondition
11 Apply3leadECGmonitoring
12 Printstripandassessrhythm
13 GatherSAMPLEhistory(ExaminerNote:Examinersupplyinformation)
14 GatherOPQRSTinformation(ExaminerNote:Examinersupplyinformation)
15 ConsiderAspirinadministration
16 Ruleoutcontraindications(ExaminerNote:Examinersupplyinformation)
17 Correctdose(Verbalised)
18 Correctmethodofadministration(Verbalised)
19 Assessvitalsigns(ExaminerNote:Examinersupplyinformation)
20 ConsiderGTNadministration
21 Ruleoutcontraindicationswithpatient(ExaminerNote:Examinersupplyinformation)
22 Correctdose(Verbalised)
23 Correctmethodofadministration(Verbalised)
24 Considersideeffects(Verbalised)
25 RepeatGTNdoseindication(Verbalised)
26 Maximumdose(Verbalised)
27 Commencetransportofpatient(Verbalised)
28 Monitorvitalsigns(ExaminerNote:Examinersupplyinformation)
29 Candidatedemonstratedgoodcommunicationwiththepatientduringtheassessment

Stopstation
EXAMINERNOTE:
NB.Noactualmedicationtobeadministeredtopatientduringassessment.

Ifcontraindicationprecludestheadministrationofmedication,thecandidatewillbeawardedall
pointsrelevanttothatmedication.

AssessmentName:
UniqueIdentifier:
Level/Section:
CurrentVersion:

Rhythmrecognition
EMT_BLSA_S001
EMT/MedicalEmergencies
Version2(August2011)

CandidateNumber:
AssessmentDate:

CandidateisexpectedtoidentifyspecificECGrhythmsThecandidatewillidentifyeach
rhythmtwice.

Theseven(7)rhythmsassessedinthisOSCEare:
NormalSinusRhythm,SinusBradycardia,SinusTachycardia,SinusRhythmwith
PrematureVentricularContractions,VentricularFibrillation,VentricularTachycardia,
Asystole.
1
Rhythm1(printout)
2
Rhythm2(printout)
3
Rhythm3(printout)
4
Rhythm4(printout)
5
Rhythm5(printout)
6
Rhythm6(printout)
7
Rhythm7(printout)
8
Rhythm8(dynamic)
9
Rhythm9(dynamic)
10 Rhythm10(dynamic)
11 Rhythm11(dynamic)
12 Rhythm12(dynamic)
13 Rhythm13(dynamic)
14 Rhythm14(dynamic)

Stopstation
EXAMINERNOTE:

AssessmentName:
UniqueIdentifier:
Level/Section:
CurrentVersion:

ECGMonitoringandRecognition
EMT_BLSA_S002
EMT/MedicalEmergencies
Version2(August2011)

CandidateNumber:
AssessmentDate:

ThecandidateisaskedtoobtainanECGreadingfromapatientandaskedtoidentifyit
correctly.
1
Explainproceduretopatient
2
Turnonmonitor
3
EnsureAEDissettomonitoringfunction
4
EnsuremonitoringcableconnectedtoAED
5
EnsureAEDisonleadII
6
AttachECGelectrodestocables
7
AttachRACable
8
AttachLACable
9
AttachLLCable
10 Attachearthcable(ExaminerNote:Pointawardedifnoearthcable)
11 Electrodesconnectedinappropriateposition
12 Confirmscreendisplay(Verbalise)

Examinerwillshowcandidaterhythmtoidentify
13 Identifyrhythm
14 Confirmmechanicaloutputmatchesonscreenrhythm
15 Print6secECGrhythmstrip
16 EnsurepatientidentityisenteredonECGrhythmstrip
17 EnterrhythmdetailsonPCR(Verbalise)
18 Maintainsthemodestyofthepatientduringprocess(Verbalise)

Stopstation
EXAMINERNOTE:

Trauma

AssessmentName:
UniqueIdentifier:
Level/Section:
CurrentVersion:

LimbFracture
EMT_LFA_S001
EMT/Trauma
Version2(August2011)

CandidateNumber:
AssessmentDate:

Candidateisreadascenariowhichinvolvesapossiblelimbfracture.

initialassessmentcompletedthepatientisstable
1
Considerpainrelief(Verbalise)
2
Explainproceduretopatient
3
DirectassistantEMTtoapplymanualstabilisationtoaffectedlimb
4
Exposeandexaminelimb
5
DressOpenFracture(verbalise)
6
AssessCirculation,SensoryandMotorfunction
7
Selectappropriatesplintingdevice
8
Splintingdeviceappliedcorrectly
9
AssessCirculation,SensoryandMotorfunction
10 Nounnecessarymovementduringprocedure
11 Necessarypaddinginplace
12 Immobilisationisadequate,inrelationtojointabovefracture
13 Immobilisationisadequate,inrelationtojointbelowfracture
14 ReassessCSMs
15 Positionoffunctionmaintained
16 Candidatedemonstratedgoodcommunicationwithpatient

Stopstation
EXAMINERNOTE:


AssessmentName:
UniqueIdentifier:
Level/Section:
CurrentVersion:

HelmetRemoval/CervicalCollar
EMT_SIA_S001
EMT/Trauma
Version2(August2011)

CandidateNumber:
AssessmentDate:

InstructiontoExaminer:IntactfullfacehelmettobeusedandthereisanassistingEMT.

Appropriatepatientassessmentcompletedpatientisstable
1
Performmanualimmobilisationoftheheadandneck
2
Explaintheproceduretothepatient
3
Statecontraindicationstomovingheadintoneutralalignment(Verbalise)
4
Headbroughtintoneutralposition
5
DirectassistingEMTtoundothechinstrap
6
DirectassistingEMTtotakeoverinlineimmobilisationoftheheadfromtheside
7
Repositionhandssothefingersarecoveredaroundthelowerededgeofthehelmet
8
AdviseassistingEMTonhandchangesrequired
9
GoodcommunicationwithassistingEMT
10 Removethehelmetinincrementalstages
11 Minimiseheadmovementduringprocedure
12 Whenthehelmetisremovedretakemanualimmobilisation
13 Headbroughtintoneutralalignment
14 AssistingEMTisdirectedtofillindeadspacebetweenheadandgroundwithsuitable
material(Ifapplicable)

Candidateisreadappropriatescenario.

CervicalCollarapplication
15 Requestsassistingpractitionertomaintaincspinecontrol
16 Ensureheadisinneutralposition
17 Explainproceduretopatient
18 PerformCSMassessmentinalllimbs(Verbalise)
19 Measurepatientforcollarsize
20 Matchkeydimensionswithcollar
21 Selectcollar
22 Assemblecollar
23 Slidecollarunderneck
24 CloseVelcrostrap(Openandreadjustifnecessary)
25 Nounnecessaryneckmovementduringapplication
26 PerformCSMassessmentinalllimbs(Verbalise)
27 Appropriatelyfittedcollar(Correctsize)

Stopstation
EXAMINERNOTE:

PaediatricEmergencies

AssessmentName:
UniqueIdentifier:
Level/Section:
CurrentVersion:

StridorPaediatric
EMT_SP_S001
EMT/PaediatricEmergencies
Version3(August2011)

1
2
3
4
5
6

CandidateNumber:

AssessmentDate:

Candidatewillbereadanappropriatescenario
Generalimpression
Confirmabsenceofforeignbody
Assessandmaintainairway
ObtainSAMPLEHistory
Assesstemperature(ExaminerNote:Temperatureisnormal)
ConsiderpresenceofCrouporEpiglottitis(Verbalise)(ExaminerNote:Confirm
conditionsarenotpresent)
7
Stateclinicalimpression
8
Reassurepatientandguardian
9
VerbaliseneedforhumidifiedO2
10 Selectwatertobenebulised
11 Performappropriatechecksoncontainer
12 Selectappropriatenebulisermask
13 Applysterilisedwatertochamber
14 Setappropriateflowrate
15 AttachECGmonitor
16 AttachSpO2device
17 Verbalisetransportinpositionofcomfort
18 Appropriatecommunicationwithpatientandguardian

Stopstation
EXAMINERNOTE:

PreHospitalEmergencyCareOperations

AssessmentName:
UniqueIdentifier:
Level/Section:

RadioMessages/PhoneticAlphabet
EMT_MEPPOS_S001
EMT/PreHospitalEmergencyCare
Operations
CurrentVersion:
Version2(August2011)

CandidateNumber:
AssessmentDate:

Candidateisgiven1minutetoreadascenariocardwhichcanbereferredtoduringthe
assessment.
1
Candidaterequeststospeaktocontrolusingproperradiocommunications
2
CandidateinformscontroltostandbyforASHICEMessage
3
ReportAAge
4
ReportSSex
5
ReportHHistory
6
ReportIIllnessInjury
7
ReportCCondition(VitalsignsandreasonforprealertingED)
8
ReportEEstimatedTimeofArrival
9
Confirmsmessageisunderstood

Controlrequestscandidatetospellawordusedintransmissionusingphoneticalphabet
10 Letter1
11 Letter2
12 Letter3
13 Letter4
14 Letter5
15 Letter6
16 Wordrelatedcorrectly
17 Candidateconfirmsmessagereceived

Stopstation
EXAMINERNOTE:

AssessmentName:
UniqueIdentifier:
Level/Section:

TriageSieve
EMT_TS_S001
EMT/PreHospitalEmergencyCare
Operations
Version1(July2009)

CurrentVersion:

CandidateNumber:

1
2
3
4

5
6
7
8
9

10
11
12
13
14

15
16
17
18
19

20
21
22
23
24
25
26

AssessmentDate:

CandidateisgivenascenariotoindicatethatamajoremergencyisinplaceExaminerwill
supplyallrelevantpatientinformationasrequested
Establishpresenceofwalkingpatients
AttachPriority3label
Identifiesasafelocationforvictimtogoto
Patientinstructedtoremainatspecifiedlocation
Patient
Assessbreathing
Openairway(Ifappropriate)
Assessrespiratoryrate
Assesscapillaryrefillorpulserate(Ifappropriate)
Attachprioritycategory/label(ExaminerNote:1Immediate,2Urgent,3Delayed,4Dead)
Patient
Assessbreathing
Openairway(Ifappropriate)
Assessrespiratoryrate
Assesscapillaryrefillorpulserate(Ifappropriate)
Attachprioritycategory/label(ExaminerNote:1Immediate,2Urgent,3Delayed,4Dead)
Patient
Assessbreathing
Openairway(Ifappropriate)
Assessrespiratoryrate
Assesscapillaryrefillorpulserate(Ifappropriate)
Attachprioritycategory/label(ExaminerNote:1Immediate,2Urgent,3Delayed,4Dead)
Notes:
1 IfthepatientisGreenthecandidatewillbeawardedmarksfortheelementschecking
breathing,respiratoryrateandcapillaryrefilliftheyarenotcheckedandconverselywill
notbeawardedmarksiftheyarechecked.
2 IfthepatientisWhitetheabovewillapplyexceptfortheelementcheckbreathing.
3 IfthepatientisRedthecandidateisrequiredtocheckthevariouselementsuntiloneof
theelementsindicatesRed.Ifthecandidatecontinuescheckingbeyondthisindication
themarkswillnotbeawardedforthoseelementsandconverselywillbeawardedmarks
iftheelementsarenotchecked.
Usingascenariocardthecandidatewilldeliveraradioreporttoambulancecontrol
regardingtheincident
MMajorIncident(declaredorstandby)
EExactLocation(gridreference,landmark)
TTypeofincident(rail,air,road)
HHazards(presentorpotential)
AAccess(directionofapproach)
NNumberofcasualties(severityandortype)
EEmergencyservices(presentorrequired)
Stopstation

ClinicalProcedures

AssessmentName:

Healthcareriskwastemanagement,
gloveremoval,disposalandhand
washing
UniqueIdentifier:
EMT_PSMA_S001
Level/Section:
EMT/ClinicalProcedures
CurrentVersion:
Version2(August2011)

CandidateNumber:
AssessmentDate:

Candidateisreadascenariorelatingtoaclinicalincidenthavingtakenplace.The
candidatemustcleanup/makesafethearea.
1
Scenesafety
2
Candidateselectsandputsgloveson
3
Correctsizedgloveselected
4
Placesharpsinthesharpsbox
5
Placehealthcareriskwastematerialinappropriatewastecontainer
6
Placenonhealthcareriskwasteintotheappropriatebin
7
Wipecontaminatedsurfaces/disinfectareausinganappropriatecleansingagent

GloveRemoval
8
Outsidesurfaceoftheglovesnotallowedtocomeincontactwithskinduringremoval
9
Glovegentlyremovedtoavoidpathogenspray
10 Disposeofsoiledglovesinthehealthcareriskwastebin

Candidatedemonstratesandverbaliseshandwashingtechnique
11 Removehandandwristjewellery
12 Wethandsunderrunningwater
13 Applysoap/antisepticsoap(Pressdispenserwithheelofhand)
14 Wethandsandrubpalmtopalm(5times)
15 Rubrightpalmoverbackoflefthand(5times)
16 Rubleftpalmoverbackofrighthand(5times)
17 Rubleftfingersoverbackofrightfingers(5times)
18 Rubrightfingersoverbackofleftfingers(5times)
19 Rubpalmtopalmwithfingersinterlaced(5times)
20 Rubleftthumb(rotatingmovement)(5times)
21 Rubrightthumb(rotatingmovement)(5times)
22 Rubtipsofrightfingersagainstoppositepalmusingcircularmovement(5times)
23 Rubtipsofleftfingersagainstoppositepalmusingcircularmovement(5times)
24 Rinsehandsthoroughly
25 Turnofftapswithoutcontaminatinghands
26 Dryhandsusingpapertowel
27 Discardpapertowelinwastebin

Stopstation
EXAMINERNOTE:ReferenceHandwashinginformationHSEHealthProtectionSurveillance
Centre.http://www.ndsc.ie/hpsc/AZ/Gastroenteric/Handwashing/Posters/

AssessmentName:

Pharmacology,Selectionand
Administration
UniqueIdentifier:
EMT_CPG_S001
Level/Section:
EMT/ClinicalProcedures
CurrentVersion:
Version2(August2011)

CandidateNumber:
AssessmentDate:

Thecandidateisreadascenariodirectlyrelatingtoanyrelevantclinicalsituation.The
candidatethenselectstheappropriatemedicationforthesituation.

Thecandidatewillbegiventwo(2)separateclinicalscenariosduringthisassessment.

Aspirin
Glucosegel
GlycerylTrinitrate
Adrenaline(1:1000)autoinjector
Entonox
Oxygen
Salbutamolinhaledaerosol
Paracetamol
Glucagon

AllmedicationsasperS.I.5102006

Scenario1
1
Correctmedicationselection
2
Checkexpirydate(Verbalise)
3
Contraindications(Verbalise)
4
Identifyappropriatedose(Verbalise)
5
Reconfirmcorrectselection
6
IdentifyRoute
7
Statepotentialadversesideeffects(Verbalise)
8
Staterepeatadministrationinstructions(Verbalise)
9
Recordadministration(Demonstrate)

Scenario2
10 Correctmedicationselection
11 Checkexpirydate(Verbalise)
12 Contraindications(Verbalise)
13 Identifyappropriatedose(Verbalise)
14 Reconfirmcorrectselection
15 IdentifyRoute
16 Statepotentialadversesideeffects(Verbalise)
17 Staterepeatadministrationinstructions(Verbalise)
18 Recordadministration(Demonstrate)

Stopstation
EXAMINERNOTE:
NBThecandidatewilldemonstrateI.MinjectionsusingasubstituteforIMlocation.Ifre
constitutingmedthennopointsforsame.

AssessmentName: IMInjection(Ampoule)
UniqueIdentifier:
EMT_A_S001
Level/Section:
EMT/ClinicalProcedures
CurrentVersion:
Version1(August2011)

CandidateNumber:
AssessmentDate:

Candidateisreadappropriatescenario.

IMinjectionpreparation
1
Selectappropriateneedle
2
Selectappropriatesyringe
3
Selectdrawingup/bluntneedle
4
Assemblesyringeanddrawingup/bluntneedle
5
Selectappropriatemedication

Confirm6rightsofmedicationadministration
6
Patient
7
Medication
8
Dose
9
Route
10 Time
11 Documentation
12 Breaktipofampoulesafely
13 Disposeoftipinappropriatecontainer
14 Discardneedleinappropriatecontainer
15 Assembleadministrationneedleandsyringe
16 Expelexcessair

IMinjectionProcedure
17 Explainproceduretopatient/seekconsent
18 IdentifythreerecognisedsitesforIMinjectiontoexaminer
19 Uncovertheselectedinjectionsite
20 Cleansesite
21 Confirmallergiesorcontraindicationspresent
22 Stretchtheskinoverinjectionsite

Examinerredirectscandidatetotrainingaidandspecifiesvolumetobeinjected
23 Pierceskin/needleat90oangle
24 Aspiratebeforeinjecting(demonstrateandverbalise)
25 Administerrequireddose
26 Withdrawtheneedleandsyringe
27 Discardinasharpscontainer
28 Releasetheskinoverinjectionsite
29 Massagethearea
30 DocumentmedicationadministrationonPCR

Stopstation
EXAMINERNOTE:

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