GORDON COLLEGE

College of Allied Health Studies

BAC H ELO R O F S C IENC E IN NU RS ING

Name: ________________________________________ Section/Group: ___________________ Date:_______________

BASIC LIFE SUPPORT

(Child/Infant)
Purposes
▪ To re-establish cardiac function and blood circulation.
▪ To maintain sufficient blood circulation and breathing through clear airway.
▪ To help patient or sustain life until more precise medical treatment can begin
Equipment
▪ AED
▪ Resuscitation mask

Rating Criteria
5 Correctly and independently performs procedure and states rationale.
4 Performs procedure and states rationale with minimal guidance.
3 Satisfactorily performs procedure with moderate guidance.
2 Procedure incorrectly done without rationale.
1 Not performed.

Procedures 5 4 3 2 1
1 Check scene safety.
2 Check victim's responsiveness.
a. pedia
b. infant
3 Open the airway.
Do the head tilt -chin lift maneuver.
4 Determine if the victim is breathing and has a pulse.
a. pedia
b. infant
5 Call for help.
6 Send for AED.
7 Start CPR
a. pedia
b. infant
8 Use AED.
a. pedia
b. infant
9 Do the recovery position.
TOTAL
𝐴𝑐𝑡𝑢𝑎𝑙 𝑆𝑐𝑜𝑟𝑒 𝐴𝑐𝑡𝑢𝑎𝑙 𝑆𝑐𝑜𝑟𝑒
Computation: × 60 + 40 = × 60 + 40
𝑇𝑜𝑡𝑎𝑙 𝑆𝑐𝑜𝑟𝑒 45

Grade:_______________

Remarks:____________________________________________________________________________________________________
_________________________________________________________________________________________________

Evaluated by:

___________________
Clinical Instructor

Conforme:

___________________
Signature of Student