EMT-B PRACTICAL EXAM
My first EMT-B practical exam is in a little under 8 hours from now and I may have just started reviewing the material. It’s a lot of information but as long as you know the steps, the flow of things, and the material (which I believe I do) then you should be fine. There are eight stations in total and you get to do a total of 5 of them, three of which everyone has to do. I typed up my steps for each station and I think it helps makes things a little clearer. If these steps are followed to the letter then you should be able to pass any of the stations being tested by the State. Enjoy!
Station 1: Critical Trauma Assessment and Management Step 01 – Scene Safety / BSI / Ask bystanders about MOI Step 02 – Verbalize general impression of the patient Step 03 – Direct C-Spine stabilization before touching/talking to patient Step 04 – Determine LOC using AVPU Step 05 – AIRWAY (Assess & Manage) Step 06 – BREATHING (Assess & Manage) Step 07 – CIRCULATION (Assess bleeding, pulse, temp, condition / Manage) Step 08 – Identify the priority of the patient and make transport decision Step 09 – Assess HEAD then NECK Step 10 – Apply cervical collar after NECK assessment Step 11 – Assess CHEST Step 12 – Auscultate breath sounds bilaterally Step 13 – Assess ABDOMEN Step 14 – Assess PELVIS Step 15 – Assess LOWER EXTREMITIES Step 16 – Assess UPPER EXTREMITIES Step 17 – Treat life-threatening injuries as found Step 18 – Treat minor injuries when time allows Step 19 – Direct partner to take vital signs Step 20 – Ask around for SAMPLE history Step 21 – Detailed exam: Assess face, eyes, and ears Step 22 – Verbalize re-assessment of patient every five minutes Station 2: Cardiac Arrest Management Step 01 – Scene safety / BSI Step 02 – Briefly question the event Step 03 – Check LOC and assess ABCs Step 04 – Direct partner to initiate CPR Step 05 – Turn on AED Step 06 – Attach AED pads correctly to patient and AED Step 07 – Direct partner to stop CPR Step 08 – Clear patient for analysis Step 09 – Initiate analysis of rhythm Step 10 – Connect BVM to oxygen tank at 15 lpm Step 11 – Request for ALS Step 12 – Clear patient for shock Step 13 – Deliver shock Step 14 – Direct immediate restart of compressions / CPR Step 15 – Verbalize insertion of a simple airway adjunct (OPA/NPA) Step 16 – Begin ventilating to chest rise (1 breath every 5 seconds) Step 17 – Verbalize high conc. O2is being delivered to patient Step 18 – Clear patient for analysis when AED indicates / Analyze Step 19 – Clear patient for shock / Shock (If needed) Step 20 – Check ABCs when evaluator indicates “signs of life” Step 21 – Perform two-rescuer BVM for 30 seconds (1 per 5 sec) Station 3: Airways, Suction, and Oxygen Step 01 – Scene safety / BSI Step 02 – Measure airway with OPA Step 03 – Select appropriately sized OPA Step 04 – Insert OPA then evaluator will direct removal Step 05 – Verbalize lubrication of nasal airway Step 06 – Measure and use correct NPA Step 07 – Insert NPA Step 08 – Evaluator will advise candidate to suction airway Step 09 – Turn on and prepare suction device Step 10 – Assure presence of mechanical suction Step 11 – Insert suction tip without suctioning Step 12 – Applies suction to the oropharynx (<15 seconds) Step 13 – Crack tank valve (then close again) Step 14 – Assemble the regulator to the tank Step 15 – Open tank, check for leaks, and check tank pressure Step 16 – Adjust liter flow to 15 lpm Step 17 – Attach non-rebreather mask to O2 regulator Step 18 – Prefill non-rebreather reservoir Step 19 – Applies and adjusts mask to patient’s face Step 20 – Evaluator will direct candidate to apply a nasal cannula Step 21 – Remove non-rebreather mask from patient Step 22 – Attach nasal cannula to O2 regulator Step 23 – Adjust liter flow to six (6) lpm Step 24 – Apply nasal cannula to patient Step 25 – Evaluator will advise to discontinue oxygen therapy Step 26 – Remove nasal cannula Step 27 – Shut off oxygen tank Step 28 – Relieve pressure within the regulator Station 4: Immobilization Skills – Long Spine Board Step 01 – Scene safety / BSI Step 02 – Direct partner to apply manual, in-line, neutral stab. of head Step 03 – Assess CSM in upper extremities (Pulse, movement, sensation) Step 04 – Assess CSM in lower extremities (Pulse, movement, sensation) Step 05 – Size cervical collar and apply appropriately sized collar Step 06 – Prepare the long board Step 07 – Move patient to LSB without excessive movement Step 08 – Apply padding to voids behind head, under torso, between knees Step 09 – Secure patient’s torso to the LSB Step 10 – Secure patient’s legs to the LSB Step 11 – Reassess tightness of all straps Step 12 – Correctly secure head to LSB Step 13 – Secure patient’s arms to body Step 14 – Reassess CSM in upper extremities (Pulse, movement, sensation) Step 15 – Reassess CSM in lower extremities (Pulse, movement, sensation) Station 5: Immobilization Skills – Short Board Step 01 – Scene safety / BSI Step 02 – Direct partner to apply manual, in-line, neutral stab. of head Step 03 – Assess CSM in upper extremities (Pulse, movement, sensation) Step 04 – Assess CSM in lower extremities (Pulse, movement, sensation) Step 05 – Properly place patient into in-line, neutral position Step 06 – Size cervical collar and apply appropriately sized collar Step 07 – Move patient forward by bending at the waist Step 08 – Place SSB behind patient without excessive movement Step 09 – Move patient to SSB against the chair Step 10 – Pad all voids between board and patient Step 11 – Secure patient’s torso to SSB (Middle strap first) Step 12 – Reassess tightness of all straps Step 13 – Secure patient’s head to the device Step 14 – Reassess CSM in upper extremities (Pulse, movement, sensation) Step 15 – Reassess CSM in lower extremities (Pulse, movement, sensation) Station 6: Long Bone Fracture (Radius/Ulna, Humerus, Tibia/Fibula) Step 01 – Scene safety / BSI Step 02 – Direct application of manual stabilization of injury site Step 03 – Assess distal CSM (Pulse, movement, sensation) Step 04 – Verbalize assessment of entire extremity Step 05 – Prepare and measure the splint Step 06 – Position splint and pad all voids Step 07 – Secure splint to fracture site Step 08 – Immobilize the joint above the injured site Step 09 – Immobilize the joint below the injured site Step 10 – Immobilize the hand/join in the position of function Step 11 – Reassess distal CSM (Pulse, movement, sensation) Station 7: Shoulder Dislocation Step 01 – Scene safety / BSI Step 02 – Direct application of manual stabilization of injury site Step 03 – Assess distal CSM (Pulse, movement, sensation) Step 04 – Select proper splinting material Step 05 – Immobilize the site of the injury Step 06 – Immobilize below the injured joint Step 07 – Reassess distal CSM (Pulse, movement, sensation) Station 8: Femur Fracture Step 01 – Scene safety / BSI Step 02 – Direct application of manual stabilization to injured leg Step 03 – Assess distal CSM (Pulse, movement, sensation) Step 04 – Verbalize assessment of entire extremity Step 05 – Apply ankle hitch Step 06 – Correctly size splint against uninjured leg Step 07 – Take over manual stabilization Step 08 – Direct partner to pull manual traction Step 09 – Correctly place splint Step 10 – Pad and secure groin (ischial) strap Step 11 – Apply mechanical traction Step 12 – Secure cradle straps Step 13 – Reassess tightness of groin (ischial) strap Step 14 – Reassess tightness of traction strap Step 15 – Reassess tightness of cradle straps Step 16 – Reassess distal CSM (Pulse, movement, sensation) Step 17 – Verbalize securing the torso to a LSB to immobilize the hip Step 18 – Verbalize securing the splint to the LSB Step 19 – Do not direct release of stabilization until traction pulled Step 20 – Do not lose traction once initiated
