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Performance Skill Sheet For Health Care Provider CPR Participants Name: - Date

This document is a performance skill sheet for health care providers on performing CPR. It outlines the key steps to check for responsiveness and signs of breathing, provide rescue breathing if breathing is abnormal, perform chest compressions and ventilations if no pulse is present, and continue CPR for 2 minutes or until another responder takes over. The participant is scored on correctly demonstrating each element of adult, child, and infant CPR.

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Louis Carlos Roderos
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41 views1 page

Performance Skill Sheet For Health Care Provider CPR Participants Name: - Date

This document is a performance skill sheet for health care providers on performing CPR. It outlines the key steps to check for responsiveness and signs of breathing, provide rescue breathing if breathing is abnormal, perform chest compressions and ventilations if no pulse is present, and continue CPR for 2 minutes or until another responder takes over. The participant is scored on correctly demonstrating each element of adult, child, and infant CPR.

Uploaded by

Louis Carlos Roderos
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Performance Skill sheet for Health Care Provider CPR

Participants name:___________________________ Date:________________

Performance HPS Score Remarks


Adult Child Infant
1. Check for responsiveness and look at the 10
chest for signs of breathing:
 If the patient is unresponsive
and has normal breathing, place
the victim in the recovery
position, have someone call
emergency response/help, and
monitor the victim for changes.
 If the patient is unresponsive
and has abnormal breathing (not
breathing, or only gasping),
check for a pulse, have someone
call emergency response/help,
and retrieve an AED if available.
2. If a pulse is present but the unresponsive 20
patient is not breathing, perform rescue
breathing:
 Give 1 breath every 5 to 6
seconds for adults,
 Give 1 breath every 3 seconds
for children and infants.
 Each breath lasts 1 second and
should produce visible chest
rise.
3. If a pulse is absent, begin CPR:
 Provide chest compressions
- give 30 chest compressions 20
- hand placement and depth 10
should be appropriate for
the patient's age.
 Open the airway:
- tilt the patient's head back 10
and lift the chin
 Give 2 breaths:
- each breath lasts 1 second 10
and should produce visible
chest rise.
 Time (Perform 2 minutes of CPR 10
(5 cycles of 30 compressions and
2 ventilations).
4. Continue CPR until an AED is available, 10
ALS personnel take over, or the patient
starts to move.
Total 100

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