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American Megacode Testing Checklist 1/2 Heart Bradycardia > VF/Pulseless VT > Asystole > ROSC Associations Student Name: a Tost Dato: Sed Team Leader Ensures high-quality CPR at all times Assigns team member roles Ensures that team members perform well Bradycardia Management Starts oxygen if needed, places monitor, starts IV Places monitor leads in proper position Recognizes symptomatic bradycardia Administers correct dose of atropine Prepares for second-line treatment VF/Pulseless VT Management Recognizes VF Clears before ANALYZE and SHOCK Immediately resumes CPR after shocks ‘Appropriate airway management Appropriate cycles of drug-rhythm check/shock-CPR ‘Administers appropriate drug(s) and doses Asystole Management Recognizes asystole \Verbalizes potential reversible causes of asystole/PEA (H's and T's) Administers appropriate drug(s) and doses Immedistely resumes CPR after rhythm checks Post-Cardiac Arrest Care Identifies ROSC Ensures BP and 12-lead ECG are performed, O, saturation is monitored, verbalizes need for endotracheal intubation and waveform capnography, and orders laboratory tests Considers therapeutic hypothermia ‘STOP TEST Instructor signature affirms that skills tests. Instructor Signature: were done according to AHA Guidelines. Save this shest with course record. Print Instructor Name: Date: american Megacode Testing Checklist 3 @ Heart Tachycardia > VF/Pulseless VT > PEA > ROSC Associations Student Name: Test Date: eeu fae ‘Team Leader Ensures high-quality CPR at all times Assigns team member roles Ensures that tearn members perform well ‘Tachycardia Management Starts oxygen if needed, places monitor, starts IV Places monitor leads in proper position Recognizes unstable tachycardia Recognizes symptoms due to tachycardia Performs immediate synchronized cardioversion VF/Pulseless VT Management Recognizes VF Clears before ANALYZE and SHOCK Immediately resumes OPR after shocks Appropriate airway management Appropriate cycles of drug-rhythm check/shook-CPR ‘Administers appropriate drug(s) anc! doses PEA Management Recognizes PEA \Verbalizes potential reversible causes of PEA/asystole (H's and T's) ‘Administers appropriate drug(s) and doses Immediately resumes CPR after rhythm and pulse checks Post-Cardiac Arrest Care Identifies ROSC Ensures 8P and 12-lead ECG are performed, O, saturation is monitored, verbalizes need for endotracheal intubation and waveform capnography, and orders laboratory tests Considers therapeutic hypothermia, ‘STOP TEST Instructor signature affirms that skills tests | Instructor Signature: were done according to AHA Guidelines. Print Instructor Name: Save this sheet with course record. Date: American Megacode Testing Checklist 4 Heart Tachycardia > VF/Pulseless VT > PEA > ROSC Association. Student Name: Test Date co eg Py ey Team Leader Ensures high-quality OPR at all times Assigns team member roles Ensures that team members perform well Tachycardia Management Starts oxygen if needed, places monitor, starts IV Places monitor leads in proper position Recognizes tachycardia (specific diagnosis) Recognizes no symptoms due to tachycardia Attempts vagal maneuvers Gives appropriate initial drug therapy VF/Pulseless VT Management Recognizes VF Clears before ANALYZE and SHOCK Immediately resumes CPR after shocks Appropriate airway management Appropriate cycles of drug-rhythm check/shock-CPR ‘Administers appropriate drug(s) and doses PEA Management Recognizes PEA Verbalizes potential reversible causes of PEA/asystole (H's and T's) Administers appropriate crug(s) and doses Immediately resumes GPR after rhythm and pulse checks Post-Cardiac Arrest Gare Identifies ROSC Ensures 8P and 12-lead ECG are performed, O, saturation is monitored, verbalizes need for endotracheal intubation and waveform capnography, and orders laboratory tests Considers therapeutic hypothermia ‘STOP TEST ‘Cale Por NR fo Indoato Pass or Nowde Remediation’ Pn Instructor signature affirms that skills ests. | Instructor Signature: ‘were done according to AHA Guidelines, Print instructor Name: Save this sheet with course record. Date: american Megacode Testing Checklist 5 @ Heart Tachycardia > VF/Pulseless VT > PEA > ROSC Association: ‘Student Name: ‘Test Date: co Cs ‘Team Leader Ensures high-quality CPR at all times Assigns team momber roles Ensures that team members perform well Tachycardia Management Starts oxygen if needed, places monitor, starts IV Places monitor leads in proper position Recognizes unstable tachycardia Recognizes symptoms dus to tachycardia Performs immediate synchronized cardioversion \VF/Pulseless VT Management Recognizes VF Clears before ANALYZE and SHOCK Immediately resumes CPR after shocks ‘Appropriate airway management Appropriate cycles of drug-rhythm check/shock-CPR Administers appropriate drug(s) and doses PEA Management Recognizes PEA Verbalizes potential reversible causes of PE//asystole (H's and T's) Administers appropriate drug(s) and doses Immediately resumes CPR after rhythm and pulse checks Post-Cardiac Arrest Care Identifies ROSC Ensures BP and 12-lead ECG are performed, O, saturation is monitored, verbalizes need for endotracheal intubation and waveform capnography, and orders laboratory tests, Considers therapeutic hypothermia STOP TEST Test Results | Oele Por NRto indicate Pass or Needs Remeciaton’ [P| WR Instructor signature affirms that skills tests. | Instructor Signatur were done according to AHA Guidelines. Print instructor Name: Save this sheet with course record. Date: ‘American Megacode Testing Checklist 6 Heart Tachycardia > VF/Pulseless VT > PEA > ROSC Associations Student Name: TestDate ere 20ea ‘Team Leader Ensures high-quality CPR at all times ‘Assigns team member roles Ensures that team members perform well Tachycardia Management Starts oxygen if needed, places monitor, starts IV Places monitor leads proper position Recognizes tachycardia (specific diagnosis) Recognizes no symptoms due to tachyoardia Attempts vagal maneuvers Gives appropriate initial drug therapy \VF/Pulseless VT Management Recognizes VF Glears before ANALYZE and SHOCK Immediately resumes CPR after shocks Appropriate airway management Appropriate cycles of drug-rhythm check/shock-CPR Administers appropriate drug(s) and doses PEA Management Recognizes PEA \Verbalizes potential reversible causes of PEA/asystole (H's and T's) ‘Administers appropriate drug(s) and doses Immediately resumes CPR after rhythm and pulse checks Post-Cardiac Arrest Care Identifies ROSC Ensures BP and 12-lead ECG are performed, O, saturation is monitored, verbalizes need for endotracheal intubation and waveform capnography, and orders laboratory tests Considers therapeutic hypothermia STOP TEST Test Results| Circle Por NR to Indicate Pass or Needs Remediation: a Instructor signature affims that skills tests. Instructor Signature: ‘were done according to AHA Guidelines. Print Instructor Name: Save this sheet with course record. Date:

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