Transcutaneous Pacing
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What class is the student in?
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B
C
Evening
A Shift
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Brown
Crown
Friedman
Fuentes
Gonzales
Gosnell
Lombardi
Mccolgan
Patterson
Robinson
Stidham
B Shift
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Chimenian
Clark
Collins
Cooper
Fowler
Lally
Pauley
Pavelka
Staub
Stoddard
Sword
C Shift
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Begosh
Decker
Eckroade
Keeney
Kough
Leonard
Peterson
Santucci
Shaffer
Swann
Wigmore
Evening Class
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Ale
Dana
Decamp
Flanary
Gunawardana
Hunt
Kaffi
Knoyer
Lopez-Puentes
Manon
Mejias
Olson
Sahadzic
Sakaria
Who is the Evaluator?
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Instructor
A Shift Student Evaluator
B Shift Student Evaluator
C Shift Student Evaluator
Evening Class Student Evaluator
Instructor
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Burkhammer, Michele
Cleveland, Susan
Cordero, Jennifer
Cousins, Robert
Dugan, Pete
Gorodetsky, Nelly
Hayunga, Joe
Herman, Geoffrey
Hutchinson, David
Kauffman, Mike
Kinna, Donald
Le Renard, Yann
Leigh, Michael
Lipp, Troy
Lofland, Larry
Luger, Brian
Newman, David
Ney, Kirk
Nosbisch, Nick
Oliveira, Rae
Ruff, Greg
Scott, Tony
Shawl, Jon
Singer, Arye
Stottlemyer, Ty
Sweder-Gold, David
Touzeau, Chris
Turcotte, Jeremy
Weinstock, Sam
Wooden, Andrew
Zea, Alejandro
A Shift Student Evaluator
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Please Select
Brown
Crown
Friedman
Fuentes
Gonzales
Gosnell
Lombardi
Mccolgan
Patterson
Robinson
Stidham
B Shift Student Evaluator
*
Please Select
Chimenian
Clark
Collins
Cooper
Fowler
Lally
Pauley
Pavelka
Staub
Stoddard
Sword
C Shift Student Evaluator
*
Please Select
Begosh
Decker
Eckroade
Keeney
Kough
Leonard
Peterson
Santucci
Shaffer
Swann
Wigmore
Evening Class Student Evaluator
*
Please Select
Ale
Dana
Decamp
Flanary
Gunawardana
Hunt
Kaffi
Knoyer
Lopez-Puentes
Manon
Mejias
Olson
Sahadzic
Sakaria
Selects, checks, assembles equipment
Monitor/defibrillator with pacing pads
Medication to reduce pain or sedate patient (if necessary)
Oxygen with appropriate administration device
Assures adequate oxygenation and patent IV established
Performs transcutaneous pacing
Takes or verbalizes appropriate PPE precautions
Identifies arrhythmia and condition that requires transcutaneous pacing
Assesses patient condition to include pulse and BP
Administers appropriate oxygen therapy
Attaches pacing pads
Assures safe environment (evaluates the risk of sparks, combustibles, oxygen enriched atmosphere)
Activates pacemaker function of device
Notes marker on ECG screen and adjusts amplitude until machine appropriately reads QRS complexes
Sets appropriate pacer rate
Sets current to be delivered to the minimum setting
Gradually increase delivered current until capture is achieved (observes pacer spikes followed by wide QRS complexes at tall “T” waves)
Reassesses patient condition to include pulse and BP
Asks patient or determines known allergies (if considering medication administration)
Administers appropriate medication to reduce pain or sedate patient (if necessary)
Verbalizes need to continuously monitor the patient’s condition
Affective
Accepts evaluation and criticism professionally
Shows willingness to learn
Interacts with simulated patient and other personnel in professional manner
Critical Criteria
Failure to take or verbalize appropriate PPE precautions
Failure to assess the patient’s hemodynamic status before and after administering
transcutaneous pacing
Failure to document rhythm before administering transcutaneous pacing
Failure to ensure the safety of self and others
Failure to ensure a safe environment before pacing initiated (sparks, combustibles, oxygen-enriched atmosphere)
Inability to deliver transcutaneous pacing (does not use machine properly)
Failure to demonstrate acceptable electrical capture
Failure to observe the patient for desired effect and adverse side effects
Failure to manage the patient as a competent EMT
Exhibits unacceptable affect with patient or other personnel
Uses or orders a dangerous or inappropriate intervention
Evaluator Comments
Was the student successful or unsuccessful in this skill?
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Unsuccessful
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