ADEX Medical Staffing - Paramedic Skills Checklist

Paramedic Skills Checklist

This assessment is for determining your experience in the below outlined clinical areas. This checklist will not be used as a determining factor in accepting your application for employment with ADEX Medical Staffing, LLC.

Proficency Scale:

1 = No Experience - Theory only

2 = Limited Experience - Infrequent

3 = Moderate Experience - Able to perform independently

4 = Proficient - Able to perform proficiently and instruct

Frequency Scale:

1 = Never Observed

2 = Less than 6 times a year

3 = 1 or 2 Times a Month

4 = Daily or Weekly

Personal Information
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	Proficiency				Frequency
Airway Assessment/ Management	1	2	3	4	1	2	3	4
Oxygen administration
Head tilt/chin lift
Nasal cannula
BVM (bag valve mask)
Oral/ Nasal airway
Venturi mask
Simple face mask
Demand valve-02 powered
Non-rebreather
Partial rebreather

	Proficiency				Frequency
Endotracheal Intubations	1	2	3	4	1	2	3	4
Orotracheal
Nasotracheal
Cricoid pressure
Needle cricothyroidotomy
End tidal CO2 monitoring
Modified jaw thrust (trauma)

	Proficiency				Frequency
Care of Patients with	1	2	3	4	1	2	3	4
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

	Proficiency				Frequency
Dysrhythmias	1	2	3	4	1	2	3	4
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

	Proficiency				Frequency
Medications	1	2	3	4	1	2	3	4
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

	Proficiency				Frequency
Medication Administration	1	2	3	4	1	2	3	4
IV Therapy
Intraosseus
Peripheral
Internal/ external jugular
Subclavian
IV push
Piggyback
Continuous drips
Oral administration
Sublingual
Intramuscular
Subcutaneous
Endotracheal
Nasogastric
Rectal
Nebulizer/ Aerosol

	Proficiency				Frequency
Immobilization/ Extrication	1	2	3	4	1	2	3	4
Long board/ short board
Cervical collar (soft/ rigid)
Head blocks and straps
KED (Kendrick extrication device)
Traction splint
Leg/ arm splints

	Proficiency				Frequency
Extrication Equipment/ Vehicle	1	2	3	4	1	2	3	4
Equipment
Wrecking bar
Bolt cutters
Hacksaw and blades
Screwdrivers (Philips and Flathead)
Wrench
Fire extinguisher
Vice pliers
Trauma shears

	Proficiency				Frequency
Emergency Equipment	1	2	3	4	1	2	3	4
AED (automatic external defibrillator)
Defibrillator (manual)
Pulse oximeter
Infusion pumps
Accucheck (blood glucose)
12 lead EKG
BP (blood pressure) cuffs
Stretchers
Ventilators

	Proficiency				Frequency
Patient population	1	2	3	4	1	2	3	4
Neo-natal
Pediatric
Adolescent
Adult
Geriatric

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The information represented above is true and correct to the best of my knowledge. I authorize ADEX Medical Staffing, LLC to share this skills checklist with its clients.
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Form Reviewed by ADEX Clinician - 11/16/2010