Skill Sheet 1: Using an AED* and Adult CPR Student Name
Instructor Name
Test Date
Instructor Number
Review the Skill Sheet with students and explain the required steps. During the skill check give assessment information, but not correct actions to take. Check off each step as it is performed successfully. If the student fails any portion of the skill check, practice, provide feedback, and retest the entire skill. Use as many skill sheets as required until proficient. Instructor Options: 1) Test each student’s skills individually on CPR and AED use. 2) Pair up students and test one student on CPR and the other on AED use at the same time. CPR provider should perform at least 2 cycles of CPR before the AED arrives. Switch roles and test again.
Skill Check 1A: Using an AED* #
Required Action
1.
Power on AED: Place AED near victim’s head, power on AED.
2.
Apply Pads to Bare Skin: Right upper chest below collarbone; left lower chest.
3.
Clear Victim: State, “Clear!” or “Everybody clear!” Look up and down to ensure no one is touching the victim or clothes.
4.
Press Shock Button When Victim is Clear
5.
Resume CPR: Start with compressions (or take over compressions if 2 rescuers). Shock the victim and resume compression within 90 seconds of AED arrival.
Comments
Time: ___ seconds
Skill Check 1B: Adult CPR #
Required Action
Comments
1.
Scene Size-Up: Look around, state, “Checking for safety.” State, “I am putting on gloves.”
2.
Establish Response: Tap on shoulder, shout. (The victim is unresponsive)
3.
Activate EMS: Yell for help. Send a bystander to call 9-1-1 and get an AED.
4.
Check Breathing: Scan the chest for 5-10 seconds. (There is no chest movement)
5.
30 Compressions: 2 hands in the center of the chest between the nipples. 30 compressions in 18 seconds or less.
Time: ___ seconds
6.
2 Breaths: Open airway using head tilt/chin lift. Use a barrier device and give 2 breaths, with visible chest rise for at least 1 breath. 10 seconds or less to give 2 breaths and resume compressions.
Time: ___ seconds
7.
30 Compressions: At least 2 inches deep and with full recoil.
_________________________________________________________________________________________ Instructor Signature Date *Skill Check 1A: ‘Using an AED’ is required for AED certification.
©EMS Safety 2011
CPR & AED for Community Rescuers
Version A