Paramedic Checklist

Please rate your experience / frequency within the last year
0 = No Experience / Observed Only
1 = Limited Experience / Rarely Done (<6 times/year)
2 = May Need Some Review / Occasionally Done (1-2 times/month)
3 = Experienced / Frequently Done (daily or weekly)

Please rate your experience / frequency within the last year

0 = No Experience / Observed Only

1 = Limited Experience / Rarely Done (<6 times/year)

2 = May Need Some Review / Occasionally Done (1-2 times/month)

3 = Experienced / Frequently Done (daily or weekly)

"*" indicates required fields

Please rate your experience / frequency within the last year
0 = No Experience / Observed Only
1 = Limited Experience / Rarely Done (<6 times/year)
2 = May Need Some Review / Occasionally Done (1-2 times/month)
3 = Experienced / Frequently Done (daily or weekly)

MM slash DD slash YYYY

Endotracheal Intubations

Orotracheal
Nasotracheal
Cricoid pressure
Needle cricothyroidotomy
End tidal CO2 monitoring
Modified jaw thrust (trauma)

Care of Patients with

Acute abdomen
Aneurysms
AMI (Acute myocardial infarction)
Lung contusions
CHF (congestive heart failure)
Hypertension
Inhalation injuries
Pulmonary edema
Seizure
Tension pneumothorax
Open chest wounds
Fractures
Closed
Open
Gunshot wound
Sucking chest wound
Sepsis
Overdose
Head injury
Stabbing
Burns
Gastroenteritis
Obstetric emergencies
Impending delivery
Placentia previa
Trauma
Eclampsia/ Pre-Eclampsia
Needle decompression of tension pneumothorax
CVA (cerebral vascular accident)
Unstable angina
GI (gastrointestinal) bleed
MVC (motor vehicle collision)
COPD (chronic obstructive pulmonary disease)
Epiglottis
Croup
Hypovolemic shock
Esophageal bleeding
Amputations
Asthma
Hypo/Hyperglycemia
Eye injuries
Cardiac arrest

Dysrhythmias

PEA (pulseless electrical activity)
Asystole
VF (ventricular fibrillation)
3'rd degree heart block
Ventricular tachycardia
Atrial fibrillation
Atrial flutter
Junctional escape rhythm
2'nd degree heart block

Medications

Activated charcoal
Narcan
Dextrose 50%
Furosemide
Lidocaine
Magnesium sulfate
Nitroglycerin
Dobutamine
Oral glucose
Normal saline
Epinephrine
Procanimide
Sodium bicarbonate
Vasopressin
Epi-Pen
Oxygen
Aspirin
Calcium chloride
Diazepam
Adenosine
Amiodarone
Verapamil
Dopamine
Diltiazem

Medication Administration

IV Therapy
Intraosseus
Peripheral
Internal/ external jugular
Subclavian
IV push
Piggyback
Continuous drips
Oral administration
Sublingual
Intramuscular
Subcutaneous
Endotracheal
Nasogastric
Rectal
Nebulizer/ Aerosol

Immobilization/ Extrication

Long board/ short board
Cervical collar (soft/ rigid)
Head blocks and straps
KED (Kendrick extrication device)
Traction splint
Leg/ arm splints

Extrication Equipment/ Vehicle

Equipment
Wrecking bar
Bolt cutters
Hacksaw and blades
Screwdrivers (Philips and Flathead)
Wrench
Fire extinguisher
Vice pliers
Trauma Shears

Emergency Equipment

AED (automatic external defibrillator)
Defibrillator (manual)
Pulse oximeter
Infusion pumps
Accucheck (blood glucose)
12 lead EKG
BP (blood pressure) cuffs
Stretchers
Ventilators

Patient population

Neo-natal
Pediatric
Adolescent
Adult
Geriatric

General Knowledge

Proper identification of patient using at least 2 identifiers
Proper identification/labeling of all lab or speciment results
Pre-procedural time-out process
Demonstrate application of all monitoring devices
Understanding of scope of practice and limitations as a certified anesthesia technician
Prioritize tasks related to role and function
Delegating responsibilities to other team members of anesthesia team
Knowledge of “Do Not Use Abbreviations”
Do you have charge/supervisor experience?
Knowledge of current Joint Commission National Patient Safety Goals
Knowledge/familiarity with HCAHPS scores
Basic life support
Purpose, use and care of physiological monitors relating to the administration of anesthesia
Biologic hazards, infection control, and standard precautions
Fire, electrical, laser and explosion hazards in the operating room and other anesthesia related areas
Storage, use and safe handling of bulk and cylinder gases
Structure, function and care of all components of anesthesia delivery systems
Sterile technique and the principals of aseptic practice
Usage of common anesthetic gases
Type and indications for local, monitored anesthesia care (MAC), regional and general anesthesia
Assists the licensed anesthesia providers in various settings
Performs duties under the direct supervision of a licensed anesthesia provider and/or Registered Nurse (RN)
Provides support for routine surgical cases by assisting in the preparation and maintenance of patient equipment and anesthesia delivery systems before, during and after anesthesia
Performs first level maintenance on anesthesia equipment
Cleans, sterilizes, disinfects, stocks, orders and maintains the routine anesthesia equipment and supplies
Principles of purchasing and supply levels
Communication skills
Ability to troubleshoot delivery systems, monitors, and ancillary devices
Participate in Quality Assurance
Maintain quality control records for anesthesia department
Use of electronic medical record charting
Participate in continuing education development for the certified anesthesia technician
Implement safety procedures and guidelines for fire safety and infection control
Newborn/Neonate (birth to 30 days)
IV Pumps