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PALS Skills Checklist

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Zain Zyadah
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203 views5 pages

PALS Skills Checklist

Uploaded by

Zain Zyadah
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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PALS​ ​Pediatric Advanced Life Support​ ​ Skills Checklist

Student Name:​ _________________________________________ ​Test Date:​ ________________________

BLS Skills Testing


Child BLS with AED (1-2 Rescuers) Skills Test
1 - Rescuer BLS and CPR Skills ▢ PASS
Compression Rate
Depth Rate ▢ Needs Retest

2- Rescuer CPR Skills ▢ PASS


Bag Mask
▢ Needs Retest

AED Skills ▢ PASS


▢ Needs Retest

Check if done
Steps Criteria
correctly

Single Rescuer Child BLS Skills Evaluation

Test the student’s BLS: deliver high-quality CPR for 10 cycles.

1 Ensure the scene is safe before checking responsiveness

2 Call for help: Sends someone to activate 911/call EMS

3 Checks for pulse and breathing (5-10 seconds)

Perform High Quality CPR:


● HAND PLACEMENT: 1 or 2 hands in the lower half of the breastbone
● RATE: At least 100/120min (30 chest compressions in no less than
15 and no more than 18 seconds)
4 ● DEPTH: Delivers compressions at least one third the depth of the
chest (approximately 2 inches / 5 cm)
● Allows complete chest recoil
● Minimize interruption in compressions: Delivers 2 breaths in less than
10 seconds
PALS​ ​Pediatric Advanced Life Support​ ​ Skills Checklist
Student Name:​ _________________________________________ ​Test Date:​ ________________________

Check if done
Steps Criteria
correctly

AED Skill and 2 Rescuers CPR Evaluation


Evaluate the ability to use the AED and 2 rescuers CPR.

1 Second rescuer arrives during 5th cycle of CPR with AED and bag-mask device

First rescuer continues compressions, now at a rate of 15:2, while second


2 rescuer turns on AED and applies pads.

3 Second rescuer clears victim, allowing AED to analyze

4 Rescuers change roles while AED analyzes rhythm

If AED indicates "SHOCK ADVISED", second rescuer clears victim again and
5 delivers shock

Resume high-quality CPR after shock delivery


● SECOND RESCUER resumes CPR with 15 compressions (less than10
6 seconds) after shock
● FIRST RESCUER delivers 2 breaths with bag-mask device

Evaluation completed after 2 cycles

BLS Skills Testing


Child BLS with AED (1-2 Rescuers) Skills Test

▢ PASS
1 - Rescuer BLS and CPR Skills​ (check one)
▢ Needs Retest

2- Rescuer CPR Skills ▢ PASS


Bag Mask (check one)
▢ Needs Retest

3- Thumb-Encircling Hands ▢ PASS


▢ Needs Retest
PALS​ ​Pediatric Advanced Life Support​ ​ Skills Checklist
Student Name:​ _________________________________________ ​Test Date:​ ________________________

Check if done
Steps Criteria
correctly

Single Rescuer Infant BLS Skills Evaluation


Test the student’s BLS: Deliver high-quality CPR for 10 cycles.

1 Ensure the scene is safe before checking responsiveness

2 Send bystander to activate EMS

3 Check pulse and breathing for no more than 10 seconds

Perform High Quality CPR:


● FINGER PLACEMENT: 2 fingers or 2 thumbs in the center of the chest,
just below the nipple line
● RATE: At least 100/120min (30 chest compressions in no less than 15
seconds and no more than 18 seconds), using 2-finger technique
4 ● DEPTH: Deliver compressions at least one third the depth of the chest
(approximately 1 ½ inches / 4 cm)
● Allows complete recoil
● Minimize interruption in compressions: Delivers 2 breaths in less than
10 seconds
● Correct finger placement

2-Rescuer CPR

Evaluate ability to give breaths with bag-mask device and give compressions by using the 2 thumb-encircling hands
technique. Also evaluate role transition from single to 2-rescuer CPR

1 Second rescuer arrives during 5th cycle of CPR with bag-mask device

2 At the end of a cycle of CPR, rescuers transition to 2 rescuer CPR

SECOND RESCUER resumes CPR with 15 compressions (less than 10


3 seconds) after shock

4 FIRST RESCUER delivers 2 breaths with bag-mask device

Evaluation completed after 2 cycles


PALS​ ​Pediatric Advanced Life Support​ ​ Skills Checklist
Student Name:​ _________________________________________ ​Test Date:​ ________________________

Check if done
Steps Criteria
correctly

Management of Respiratory Emergencies Checklist


Critical Competency Items

Test the student’s BLS: deliver high-quality CPR for 5 cycles.

Describe the difference between high-flow and low-flow oxygen


delivery systems
a. High flow (> 10 liters/min): 02 flow exceeds patient inspiratory flow,
preventing inhalation of room air if system is properly fit and sealed;
delivers nearly 100% oxygen. Example: non-rebreathing mask with
1 reservoir
b. Low flow (< 10 liters/min): patient inspiratory flow exceeds 02 flow,
allowing inhalation of room air; typically delivers 23%-50% oxygen.
Examples: nasal cannula, simple 02 mask

2 Identifies maximum nasal cannula flow rate: 4 L/min

Demonstrate correct technique to open airway using:


a. Head-tilt/chin-lift maneuver for patients in whom trauma is not
3 suspected
b. Jaw thrust for trauma victims

Verbalizes different indications for oropharyngeal (OPA) and nasopharyngeal


(NPA) airways
4 a. OPA used only in an unconscious victim without a gag reflex
b. NPA used for trauma victims

Demonstrates correct use of OPA


a. Selects correctly sized OPA airway by measuring from corner of
mouth to angle of mandible
b. Inserts OPA correctly
5 c. Verbalizes assessment for adequate breathing after inserting of OPA
d. Suctions with OPA in place; states suctioning not to exceed 10
seconds

6 Demonstrates correct mask size selection for ventilations


PALS​ ​Pediatric Advanced Life Support​ ​ Skills Checklist
Student Name:​ _________________________________________ ​Test Date:​ ________________________

Assembles bag-mask device, opens airway, and obtain seal by using E-C
7 technique

Delivers ventilations using bag-mask device


a. Delivers 1 breath every 2 to 3 seconds for about 30 seconds
8 b. Gives each breath over approximately 1 second
c. Delivers adequate volume to cause chest rise without
over-ventilation

The following steps are optional. They are demonstrated and evaluated only
when the student’s scope of practice involves endotracheal intubation.

9 a. Endotracheal intubation
b. Prepares equipment for ET intubation
c. Inserts ET tube correctly

Endotracheal intubation:
a. Describes obtaining proper equipment needed for endotracheal (ET) tube
intubation
10 b. Confirms proper ET tube placement by auscultation and by end-tidal C02
detector
c. Secures ET tube with commercial prepared device, not tape
d. Suctions ET tube correctly

▢ PASS ▢ Needs Retest

Instructor Name:​ _________________________________________ ​Date:​ __________________

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