EMERGENCY AND DISASTER NURSING

Cardio-Pulmonary Resuscitation (Adult)

Student’s Name: ________________________ Block: _____ Date: _______ Grade: _______

STEPS 4 3 2 1 0
Step 1: Assessment and Scene Safety
1. Make sure that the scene is safe for you and the victim. You do
not want to become a victim yourself.
2. Tap the victim’s shoulder and shout, “Are you all right?”
3. Check to see if the victim is breathing. If a victim is not breathing
or not breathing normally (ie, only gasping), you must activate
the emergency response system.
Step 2: Activate the Emergency Response System and Get an AED
1. If you are alone and find an unresponsive victim not breathing,
shout for help. If no one responds, activate the emergency
response system, get AED (or defibrillator) if available, and then
return to the victim to check a pulse and begin CPR (C-A-B
sequence).
Step 3: Pulse Check
1. Locate the trachea, using 2 to 3 fingers.
2. Slide these 2 to 3 fingers into the groove between the trachea
and the muscles at the side of the neck, where you can feel the
carotid pulse.
3. Feel for pulse for at least 5 but not more than 10 seconds. If you
do not definitely feel a pulse, begin CPR, starting with chest
compressions (C-A-B sequence).
Step 4: Begin Cycles of 30 Chest Compressions and 2 Breaths (CPR)
1. Position yourself at the victim’s side
2. Make sure the victim is lying face-up on a firm, flat surface, if the
victim is lying face-down, carefully roll him face-up. If you
suspect the victim has a head or neck injury, try to keep the
head, neck injury, try to keep the head, neck or torso in a line
when rolling the victim to a face-up position.
3. Put the heel of one hand on the center of the victim’s chest on
the lower half of the breastbone.
4. Pull the heel of your other hand on top of the first hand.
5. Straighten your arms and position your shoulders directly over
your hands.
6. Push hard and fast:
● Press down at least 2 inches with each compression (this
requires hard work). For chest compression, make sure you
push straight down on the victim’s breastbone
● Deliver compressions in a smooth fashion at a rate of at least
 100/min.
7. At the end of each compression, make sure you allow the chest
to recoil (re-expand) completely. Chest recoil allows blood to
flow into the heart and is necessary for chest compressions to
create blood flow. Incomplete chest recoil is harmful because it
reduces the blood flow created by chest compressions. Chest
compression and chest recoil/relaxation times should be
approximately equal.
8. Minimize interruptions.

How to compute:

Step 1: Rate the student from 1 to 4 where:

4 = Highly Satisfactory 3 = Satisfactory 2 = Fair 1 = Needs Improvement 0 = Not done

Step 2: To get the final grade for the above competency, compute the total score for items
evaluated, divide it by the highest total possible score for all items evaluated, multiply by 60,
then add 40.

Actual Score x 60 + 40 = Final Grade

Perfect Score

_______________________________ _______________________________________
Student’s Signature Over Printed Name Clinical Instructor’s Signature Over Printed Name
Date: __________________ Date: __________________