The document describes an infant CPR skills testing checklist. It lists the steps that a student must successfully complete during a simulated infant CPR scenario test. These include: assessing the infant and activating emergency response within 30 seconds; performing high-quality chest compressions and rescue breaths in 3 cycles of 30 compressions and 2 breaths; and verbally stating the need to call 9-1-1. The instructor uses the checklist to verify each step is performed correctly, and to determine if the student passes or needs remediation.
The document describes an infant CPR skills testing checklist. It lists the steps that a student must successfully complete during a simulated infant CPR scenario test. These include: assessing the infant and activating emergency response within 30 seconds; performing high-quality chest compressions and rescue breaths in 3 cycles of 30 compressions and 2 breaths; and verbally stating the need to call 9-1-1. The instructor uses the checklist to verify each step is performed correctly, and to determine if the student passes or needs remediation.
The document describes an infant CPR skills testing checklist. It lists the steps that a student must successfully complete during a simulated infant CPR scenario test. These include: assessing the infant and activating emergency response within 30 seconds; performing high-quality chest compressions and rescue breaths in 3 cycles of 30 compressions and 2 breaths; and verbally stating the need to call 9-1-1. The instructor uses the checklist to verify each step is performed correctly, and to determine if the student passes or needs remediation.
The document describes an infant CPR skills testing checklist. It lists the steps that a student must successfully complete during a simulated infant CPR scenario test. These include: assessing the infant and activating emergency response within 30 seconds; performing high-quality chest compressions and rescue breaths in 3 cycles of 30 compressions and 2 breaths; and verbally stating the need to call 9-1-1. The instructor uses the checklist to verify each step is performed correctly, and to determine if the student passes or needs remediation.
Student Name _____________________________________ Date of Test ______________
Scenario: “While you are pushing a baby in a stroller at the park, you notice something is wrong with the baby. You do not have a phone nearby. You ensure that the scene is safe and take the baby out of the stroller. Demonstrate what you would do next.”
Check if done Assessment and Activation correctly
1 Checks responsiveness 2 Shouts for help 3 Checks breathing Once student shouts for help, instructor says, “No one is around to help.”
Cycle 1 of CPR (30:2) *CPR feedback devices preferred for accuracy
Infant Compressions Performs high-quality compressions*: • Placement of 2 fingers in the center of the chest, just below the nipple line 1 • 30 compressions in no less than 15 and no more than 18 seconds • Compresses at least one third the depth of the chest, about 1½ inches (4 cm) • Complete recoil after each compression Infant Breaths Gives 2 breaths with a barrier device: 2 • Each breath given over 1 second • Visible chest rise with each breath • Gives 2 breaths in less than 10 seconds Cycle 2 of CPR (repeats steps in Cycle 1) Only check box if step is successfully performed 1 Gives 30 high-quality compressions 2 Gives 2 effective breaths
Cycle 3 of CPR (repeats steps in Cycle 1) Only check box if step is successfully performed
1 Gives 30 high-quality compressions
2 Gives 2 effective breaths
Activates Emergency Response System (9-1-1)
1 Verbalizes the need to leave to phone 9-1-1
Instructor says, “You have just completed 5 sets of 30 compressions and 2 breaths.” Infant CPR Skills Testing Checklist
STOP TEST
Instructor Notes • Place a in the box next to each step the student completes successfully. • If the student does not complete all steps successfully (as indicated by at least 1 blank check box), the student must receive remediation. Make a note here of which skills require remediation (refer to Instructor Manual for information about remediation).
Test Results Check PASS or NR to indicate pass or needs remediation: PASS NR
Instructor Initials ___________________ Instructor Number ___________________ Date _____________
Skills Testing Critical Skills Descriptors
Assesses infant and activates emergency response system (this must precede starting compressions) within a maximum of 30 seconds. After determining that the scene is safe: • Checks for responsiveness by tapping and shouting 1 • Shouts for help • Checks for no breathing or no normal breathing (only gasping) –– Scans from the head to the chest for a minimum of 5 seconds and no more than 10 seconds
immediately after recognition of cardiac arrest) • Correct placement of fingers in center of chest –– 2 fingers just below the nipple line • Compression rate of 100 to 120/min 2 –– Delivers 30 compressions in 15 to 18 seconds • Compression depth and recoil—compress at least one third the depth of the chest, about 1½ inches (4 cm) –– Use of a commercial feedback device/manikin is highly recommended –– Complete chest recoil after each compression Infant CPR Skills Testing Checklist
Skills Testing Critical Skills Descriptors
Cycle 1: Provides 2 breaths by using a barrier device • Opens airway adequately –– Uses a head tilt–chin lift maneuver 3 • Delivers each breath over 1 second • Delivers breaths that produce visible chest rise • Avoids excessive ventilation • Resumes chest compressions in less than 10 seconds
4 Cycle 2: Performs same steps for compressions and breaths as in Cycle 1
5 Cycle 3: Performs same steps for compressions and breaths as in Cycle 1
