NREMT PSYCHOMOTOR EXAM SKILLS
2022 NEW SOLUTION GUIDE
BLEEDING CONTROL/SHOCK MANAGEMENT - ANS IS 1. PPE/Scene safe
2. indicate need for immediate transport
3. apply direct pressure to wound
4. apply tourniquet
5. properly position the patient
6. administer high concentration oxygen
7. initiates steps to prevent heat loss from the patient
BVM VENTILATION OF AN APNEIC ADULT PATIENT - ANS IS 1. PPE / Standard
Precautions
2. Check responsiveness
3. Request ALS
4. Check pulse and breathing
5. Open airway
6. Prepare rigid suction catheter
7. Turn on power to suction device
8. Insert rigid suction catheter without suction
9. Suction the mouth on way out
10. Open airway
11. Inserts Oral Airway
12. Ventilate the patient immediately without oxygen
13. Re-check pulse
14. Attach the BVM to oxygen @ 15 LPM
15. Ventilate the patient adequately at 5 - 6 seconds
NOTE: The examiner must now ask the candidate, "How would you know if you are
delivering appropriate volumes with each ventilation?"
I observe visible chest rise.
CARDIAC ARREST MANAGEMENT/AED - ANS IS 1. PPE / scene safe
2. assess responsiveness
3. check carotid pulse and breathing
4. request ems assistance, retrieve AED
5. Immediate chest compression
6. perform 5 cycles of CPR 30:2
7. assess patient (pulse and breathing)
8. direct assistant to resume chest compressions
9. power on AED
10. follow prompts , attach pads, connect AED
11. clear patient during analysis and shocks
12. immediately direct rescuer to resume chest compressions
, JOINT IMMOBILIZATION - ANS IS 1. PPE/safe scene
2. directs manual stabilization of the injury
3. assess PMS (pulse, motor, sensory)
4. select proper splinting material
5. immobilize the site of the energy
6. immobilize the bone above injury
7. immobilize the bone below injury
8. secure the entire injured extremity
9. reassess PMS in extremity distal to injury
LONG BONE IMMOBILIZATION - ANS IS 1. PPE/ safe scene
2. direct manual stabilization of the injury
3. assess PMS (pulse, motor, sensory)
4. measure the splint
5. apply the splint
6. immobilize the joint above injury
7. immobilize the joint below injury
8. secure the entire injured extremity
9. immobilize the hand/foot in position of function
10. reassess PMS
OXYGEN ADMINISTRATION BY NON-REBREATHER MASK - ANS IS 1. PPE/safe
scene
2. gathers appropriate equipment
3. cracks valve on the oxygen tank
4. assembles the regulator to the oxygen tank
5. opens the valve opens the oxygen tank valve
6. checks oxygen tank valve
7. checks for leaks
8. attaches non-breather mask to regulator
9. turns on oxygen flow
10. PREFILL RESERVOIR BAG
11. adjusts regulator to flow rate of at least 10 L/min
12. attach mask to patient's face and adjusts it to fit
SPINAL IMMOBILIZATION (SEATED PATIENT) - ANS IS 1. PPE/safe scene
2. directs assistant to place head in neutral, in-line position
3. direct assistant to maintain manual stabilization of the head
4. assess PMS (pulse, motor, sensory) in all extremities
5. applies correct sized collar
6. position immobilization device behind the patient
7. secures device to patients torso
8. evaluate torso fixation, adjust if necessary
9. evaluate pads behind head
10. secure head
2022 NEW SOLUTION GUIDE
BLEEDING CONTROL/SHOCK MANAGEMENT - ANS IS 1. PPE/Scene safe
2. indicate need for immediate transport
3. apply direct pressure to wound
4. apply tourniquet
5. properly position the patient
6. administer high concentration oxygen
7. initiates steps to prevent heat loss from the patient
BVM VENTILATION OF AN APNEIC ADULT PATIENT - ANS IS 1. PPE / Standard
Precautions
2. Check responsiveness
3. Request ALS
4. Check pulse and breathing
5. Open airway
6. Prepare rigid suction catheter
7. Turn on power to suction device
8. Insert rigid suction catheter without suction
9. Suction the mouth on way out
10. Open airway
11. Inserts Oral Airway
12. Ventilate the patient immediately without oxygen
13. Re-check pulse
14. Attach the BVM to oxygen @ 15 LPM
15. Ventilate the patient adequately at 5 - 6 seconds
NOTE: The examiner must now ask the candidate, "How would you know if you are
delivering appropriate volumes with each ventilation?"
I observe visible chest rise.
CARDIAC ARREST MANAGEMENT/AED - ANS IS 1. PPE / scene safe
2. assess responsiveness
3. check carotid pulse and breathing
4. request ems assistance, retrieve AED
5. Immediate chest compression
6. perform 5 cycles of CPR 30:2
7. assess patient (pulse and breathing)
8. direct assistant to resume chest compressions
9. power on AED
10. follow prompts , attach pads, connect AED
11. clear patient during analysis and shocks
12. immediately direct rescuer to resume chest compressions
, JOINT IMMOBILIZATION - ANS IS 1. PPE/safe scene
2. directs manual stabilization of the injury
3. assess PMS (pulse, motor, sensory)
4. select proper splinting material
5. immobilize the site of the energy
6. immobilize the bone above injury
7. immobilize the bone below injury
8. secure the entire injured extremity
9. reassess PMS in extremity distal to injury
LONG BONE IMMOBILIZATION - ANS IS 1. PPE/ safe scene
2. direct manual stabilization of the injury
3. assess PMS (pulse, motor, sensory)
4. measure the splint
5. apply the splint
6. immobilize the joint above injury
7. immobilize the joint below injury
8. secure the entire injured extremity
9. immobilize the hand/foot in position of function
10. reassess PMS
OXYGEN ADMINISTRATION BY NON-REBREATHER MASK - ANS IS 1. PPE/safe
scene
2. gathers appropriate equipment
3. cracks valve on the oxygen tank
4. assembles the regulator to the oxygen tank
5. opens the valve opens the oxygen tank valve
6. checks oxygen tank valve
7. checks for leaks
8. attaches non-breather mask to regulator
9. turns on oxygen flow
10. PREFILL RESERVOIR BAG
11. adjusts regulator to flow rate of at least 10 L/min
12. attach mask to patient's face and adjusts it to fit
SPINAL IMMOBILIZATION (SEATED PATIENT) - ANS IS 1. PPE/safe scene
2. directs assistant to place head in neutral, in-line position
3. direct assistant to maintain manual stabilization of the head
4. assess PMS (pulse, motor, sensory) in all extremities
5. applies correct sized collar
6. position immobilization device behind the patient
7. secures device to patients torso
8. evaluate torso fixation, adjust if necessary
9. evaluate pads behind head
10. secure head
