ALS Provider Course - Continuous Assessment for High-Quality CPR & Defibrillation

Structure Assessment
Process Desired skill (Please tick)
Skill
Demonstration of competency during the skills practice outcome Not
description Achieved
achieved

Confirms cardiac
Confirmation of Open airway, check for breathing and circulation simultaneously, call the resuscitation team and send for resuscitation
arrest and ensures
cardiac arrest equipment.
help is called
Delivery of
high-quality Hand position, depth, rate and recoil of compressions. 30:2 ratio. Support of the
circulation during
chest Avoids unnecessary interruptions in chest compression. cardiac arrest
compressions
Identifies competencies and allocates tasks accordingly:
communicated effectively the sequence to team members to minimise pre-shock pause
Task allocation Allocates tasks and
pads applied while chest compressions are ongoing
and planning plans actions of
compressions stopped for rhythm check, < 5 s
for team to minimise
clear instructions given to the person doing chest compressions to continue whilst the defibrillator is charged, and
defibrillation pre-shock pause
all other team members informed to stand clear and remove oxygen as appropriate
compressions stop, hands clear of the chest, and shock delivery immediate resumption of CPR.
Ensures delivery of planned actions by team:
correct diagnosis of a shockable rhythm
Selects the appropriate energy on the defibrillator
Safe and minimises pre-shock pause; warns the team to stand clear, charges defibrillator with ongoing chest compressions Safe and effective
tells person delivering chest compressions to stand clear and ensures oxygen delivery device has been removed, defibrillation,
effective use of
minimal pre-shock
the defibrillator as appropriate
pause
shock safely delivered and immediate resumption of CPR
no pause or rhythm checks immediately post-shock
ensures the safety of self and team at all times.

Candidate name: 1st Instructor name: 2nd Instructor name:

Achieved assessment outcome: Yes  No  Date:
Comments: (Continue overleaf if required)

ALS Provider Course | Quality CPR and defibrillation assessment sheet | Aug/2020 | Version 1 1