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BLS Adult Skills Checklist

This document is a checklist from Tagum Doctors College in the Philippines for skills tested in basic life support for adults. It lists the steps performed including establishing scene safety, assessing responsiveness, checking pulse and breathing, performing chest compressions, opening the airway, delivering rescue breaths, and placing the patient in the recovery position. Students must complete all the skills and get signatures from themselves and their clinical instructor to verify completion.

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Wency Lagumbay
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98 views3 pages

BLS Adult Skills Checklist

This document is a checklist from Tagum Doctors College in the Philippines for skills tested in basic life support for adults. It lists the steps performed including establishing scene safety, assessing responsiveness, checking pulse and breathing, performing chest compressions, opening the airway, delivering rescue breaths, and placing the patient in the recovery position. Students must complete all the skills and get signatures from themselves and their clinical instructor to verify completion.

Uploaded by

Wency Lagumbay
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

Tagum Doctors College Inc.

College of Nursing
Mahogany St., Rabe Subd.Tagum City, Davao de Norte

BASIC LIFE SUPPORT – Adult Checklist

COMPLETED
Skill Tested
Yes No

Establish Scene safety

Assess patient’s responsiveness

 Check for pulse/breathing no longer than 10 seconds


 Follows Airway, Breathing, Circulation upon checking

 Performs head-tilt chin lift effectively upon checking


Activates emergency response (call for help)

Correct CPR
 Proper positioning
 Proper placement of hands
 Performs 30 compressions with correct rate and depth
 Allows for complete recoil of chest between compressions
 Opens airway appropriately (head tilt/chin lift, jaw thrust)

 Delivers 2 rescue breaths with visible chest rise


Re-check for responsiveness
 Check for pulse/breathing no longer than 10 seconds
 Follows Airway, Breathing, Circulation upon checking

 Performs head-tilt chin lift effectively upon checking


Recovery position (correct side-lying position)

REMARKS_________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

______________________
Student’ Name & Signature

______________________
CI’s Name & Signature
Tagum Doctors College Inc.
College of Nursing
Mahogany St., Rabe Subd.Tagum City, Davao de Norte
Tagum Doctors College Inc.
College of Nursing
Mahogany St., Rabe Subd.Tagum City, Davao de Norte

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