Paramedic Skills Checklist

Please rate your experience / frequency within the last year

0 = No Experience / Observed Only
1 = Limited Experience / Rarely Done (<6 times/year)
2 = May Need Some Review / Occasionally Done (1 – 2 times/month)
3 = Experienced / Frequently Done (daily or weekly)

Full Name(Required)

Email(Required)

Send to(Required)

Date(Required)

AGE OF CLIENTS:

Newborn/Neonate (birth to 30 days)(Required)

Infant (31 days to 12 months)(Required)

Toddler/Preschool (13 months to 5 years)(Required)

School Age Child/adolescent (6 years to 18 years)(Required)

Young Adults Middle Adult (19 years to 64 years)(Required)

Older Adults/Elderly (65+years)(Required)

AIRWAY ASSESSMENT/MANAGEMENT

Oxygen administration(Required)

Head tilt/chin lift(Required)

Nasal cannula(Required)

BVM (bag valve mask)(Required)

Oral/ Nasal airway(Required)

Venturi mask(Required)

Simple face mask(Required)

Demand valve-02 powered(Required)

Non-rebreather(Required)

Partial rebreather(Required)

ENDOTRACHEAL INTUBATIONS

Orotracheal(Required)

Nasotracheal(Required)

Cricoid pressure(Required)

Needle cricothyroidotomy(Required)

End tidal CO2 monitoring(Required)

Modied jaw thrust (trauma) ☐(Required)

CARE OF PATIENTS WITH

Acute abdomen(Required)

Aneurysms(Required)

AMI (Acute myocardial infarction)(Required)

Lung contusions(Required)

CHF (congestive heart failure)(Required)

Hypertension(Required)

Inhalation injuries(Required)

Pulmonary edema(Required)

Seizure(Required)

Tension pneumothorax(Required)

Open chest wounds(Required)

Fractures(Required)

Closed(Required)

Open(Required)

Gunshot wound(Required)

Sucking chest wound(Required)

Sepsis(Required)

Overdose(Required)

Head injury(Required)

Stabbing(Required)

Burns(Required)

Gastroenteritis(Required)

Obstetric emergencies(Required)

mpending delivery(Required)

Placentia previa(Required)

Trauma(Required)

Eclampsia/ Pre-Eclampsia(Required)

Needle decompression of tension pneumothorax(Required)

CVA (cerebral vascular accident)(Required)

Unstable angina(Required)

GI (gastrointestinal) bleed(Required)

MVC (motor vehicle collision)(Required)

COPD (chronic obstructive pulmonary disease)(Required)

Epiglottis(Required)

Croup(Required)

Hypovolemic shock(Required)

Esophageal bleeding(Required)

Amputations(Required)

Asthma(Required)

Hypo/Hyperglycemia(Required)

Eye injuries(Required)

Cardiac arrest(Required)

DYSRHYTHMIAS

PEA (pulseless electrical activity)(Required)

Asystole(Required)

VF (ventricular brillation)(Required)

3'rd degree heart block(Required)

Ventricular tachycardia(Required)

Atrial brillation(Required)

Atrial utter(Required)

Junctional escape rhythm(Required)

2'nd degree heart block(Required)

MEDICATIONS

Activated charcoal(Required)

Narcan(Required)

Dextrose 50%(Required)

Furosemide(Required)

Lidocaine(Required)

Magnesium sulfate(Required)

Nitroglycerin(Required)

Dobutamine(Required)

Oral glucose(Required)

Epinephrine(Required)

Procanimide(Required)

Sodium bicarbonate(Required)

Vasopressin(Required)

Epi-Pen(Required)

Oxygen(Required)

Aspirin(Required)

Calcium chloride(Required)

Diazepam(Required)

Adenosine(Required)

Amiodarone(Required)

Verapamil(Required)

Dopamine(Required)

Diltiazem(Required)

MEDICATION ADMINISTRATION

IV Therapy(Required)

Intraosseus(Required)

Peripheral(Required)

Internal/ external jugular(Required)

Subclavian(Required)

IV push(Required)

Piggyback(Required)

Continuous drips(Required)

Oral administration(Required)

Sublingual(Required)

Intramuscular(Required)

Subcutaneous(Required)

Endotracheal(Required)

Nasogastric(Required)

Rectal(Required)

Nebulizer/ Aerosol(Required)

IMMOBILIZATION/ EXTRICATION

Long board/ short board(Required)

Cervical collar (soft/ rigid)(Required)

Head blocks and straps(Required)

KED (Kendrick extrication device)(Required)

Traction splint(Required)

Leg/ arm splints(Required)

EXTRICATION EQUIPMENT/ VEHICLE

Wrecking bar(Required)

Bolt cutters(Required)

Hacksaw and blades(Required)

Screwdrivers (Philips and Flathead)(Required)

Wrench(Required)

Fire extinguisher(Required)

Vice pliers(Required)

Trauma shears(Required)

EMERGENCY EQUIPMENT

AED (automatic external debrillator) ☐(Required)

Debrillator (manual)(Required)

Pulse oximeter(Required)

Infusion pumps(Required)

Accucheck (blood glucose)(Required)

12 lead EKG(Required)

BP (blood pressure) cus ☐(Required)

Stretchers(Required)

Ventilators(Required)

OTHER SKILLS

List here(Required)