Skills Check Interview Logo

  • Skills Check Interview

    Spring 2024

  • Vital Signs

    Let them take your blood pressure. If you use the machines, they are not as accurate as the number inputted so keep that in mind.
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  • Other Skills

    Must check PMS before and after for a 5
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  • Medications

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  • Airway Management

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  • Scenario

    The goal of this scenario is to access their ability to apply foundational EMT principles in practice. It also accesses their critical thinking skills, and ability to communicate and make decisions. The scenario itself is unrealistic, but it serves as a measure to see how thorough they are.

  • EXAMINER:

    "Welcome to the patient assessment and management practical. The goal of this scenario is to evaluate your ability to apply foundational EMT principles in practice, adapt, think critically, and communicate. The scenario itself is not an everyday scenario but would help us evaluate EMT competency. 

    We will respond to this scenario together, but you will be the lead provider. I am a brand new EMT who is competent and will not perform tasks unless you tell me to. As we move through the scenario, I want you to voice everything you are assessing. For example, if you do a head-to-toe assessment, I want you to break down everything you are looking for. I will have all the information related to this scenario, so ask me for the information you are looking for. You have 15 minutes to complete this assessment. All the equipment you need is inside the room. I will give you a second to orient yourself with the equipment."

    Ask them: "We will begin the scenario whenever you are ready". When they are

    *Set a 15-minute timer*

    "You get called out to a UV apartment to a 54-year-old male. Per bystander, the patient is a plumber who works with the university and was fixing a resident's garbage disposal. The bystander reports that his hand slipped the screwdriver into the electric socket and knocked them cold. The patient is currently lying on the floor, as presents, there is also a large pool of blood around his knee, and is actively shooting blood. Any blue tape on this mannequin is indicative of an injury. You may begin."

  • Initial Impression

    This applies when they are in the bathtub

    LOC: "Patient is unresponsive"

    • GCS Score: 3
      • Eyes: Does not open
      • Verbal: None
      • Motor: None (flaccid)

    Pulse: "Fast and weak, estimated rate around 200"

    Airway: "Patent, no obstructions noted"

    Breathing: "Shallow and irregular"

    C-spine palpation: "Clear" 

    *A C-collar may be applied now to help them move the patient out of the bathtub.*

    Also acceptable: *C-spine held as the patient is moved out of the bathtub, and then C- collar applied outside the tub*

  • HEAD-TO-TOE ASSESSMENT

    This applies when they are out of the bathtub

    HEENT:

    • Head: Stable
    • Eyes: PERRL or "normal" if applicant is confused
    • Ears: No fluid noted
    • Nose: No fluid noted, stable
    • Neck: JVD is present on patient's left, with tracheal deviation toward the right

    Chest: Large black lightning-looking scar on the right side of the chest.

    Abdomen: Soft and nontender x 4. Large black lightning-looking scar on the right side of the abdomen.

    Pelvis: Stable

    Right leg: Large exit hole injury. Bleeding controlled (if a tourniquet is applied)

    Right Arm: Small hole in the palm of the hand. Pulse intact, motor and sensory abnormal. 3rd-degree burns along the entire arm. 

    Other extremities: Stable; PMS is present

  • VITALS

    Can prompt by saying: "Patient stopped breathing"

    Blood Pressure: ERROR

    Heart Rate: 0

    Respiratory Rate: 0

    Lung Sounds: None

    Pupils: PERRL

    SpO2: 60%

    BGL: 100 mg/dL

    End Tidal CO2: "0 mmHg. Waveform is not present"

    ETCO2 during compressions: "10 mmHg and waveform is present"

  • Should be Empty: