BACHELOR OF SCIENCE IN NURSING

RLE UNIT SKILLS CHECKLIST WEEK

PEDIATRIC CARDIOPULMONARY
NCMA 219 LF2F | 02
RESUSCITATION
PERFORMING BASIC LIFE SUPPORT – INFANT (Single Rescuer)
PROCEDURE: 4 3 2 1
1. The student secures the scene. (Scene is safe)
2. Assesses victim and activates emergency response system (this must
precede before starting compressions) within 30seconds after determining
that the scene is safe.
a. Checks for responsiveness by tapping and shouting
b. Checks for breathing (no breathing or gasping) by scanning from head to
chest for a minimum of 5 seconds and no more than 10 seconds.
c. Checks brachial pulse for a minimum of 5 seconds and no more than 10
seconds (can be done simultaneously with checks for breathing).
3. Demonstrates / performs correct CPR placing fingers in the center of the
chest and with correct body positioning over patient. (Must be initiated
within 10 seconds of identifying cardiac arrest.)
4. Demonstrates correct compression rate (100-120/min) and depth (1.5 in. or
4cm).
5. Allows for complete chest recoil between compressions.
6. Provides effective breaths with a barrier device, and observes visible chest
rise.
7. Have the student perform a second round of CPR. (AED has arrived, switch
providers giving compressions)
8. Demonstrates correct placement of AED, without interrupting CPR. (AED
analyzes rhythm)
9. Student clears patient for rhythm check and shock. (Shock delivered)
10. Student immediately returns to CPR after shock delivered.
SCORE ( _____/ 56 ) * 100 = ______

Name: ____________________________________________ Section & Group: ____________

Grade:
________________________________________________________
Signature over Printed Name of Clinical Instructor Date: