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Unformatted text preview: EMS SKILL EMS SKILL PATIENT ASSESSMENT CHEST AUSCULTATION PERFORMANCE OBJECTIVES The examinee will demonstrate proficiency in performing rapid and/or comprehensive auscultation of the anterior and posterior breath sounds. CONDITION The examinee will be requested to auscultate anterior and posterior breath sounds and perform rapid chest auscultation in critical situations using a live model or respiration simulator. Necessary equipment will be adjacent to the patient. EQUIPMENT Live model or respiration simulator, stethoscope/dual teaching stethoscope, goggles, mask, gown, gloves. PERFORMANCE CRITERIA y 100% accuracy required on all items designated by a diamond ( ¡ ) for skills testing and must manage successfully all items indicated by double asterisks (**). y Documentation, identified by the symbol (§), must be practiced, but is not a required test item. y Appropriate body substance isolation precautions must be instituted. PREPARATION Skill Component Key Concepts ¡ Take body substance isolation precautions y Mandatory personal protective equipment - gloves y Situational - goggles, mask, gown ¡ Direct patient to breathe deeply in and out through open mouth when ready to listen at specific areas y Breathing with an open mouth increases air velocity resulting in more accurate sounds. y Having patient cough if lungs are congested will clear secretions result in hearing clearer sounds such as crackles (rales). ¡ Place diaphragm of stethoscope directly on patient’s skin over auscultation site y Hold the stethoscope head between index and middle fingers and press firmly against the chest; allows better transmission of lung sounds and eliminates external noises. y Maintaining patient modesty, diaphragm of the stethoscope may be slipped into place under clothing without exposing patient. RAPID AUSCULTATION PROCEDURE Skill Component Key Concepts ¡ Listen for presence and equality of bilateral breath sounds only: y Instruct patient to take a deep breath - if responsive y Listen at 5 th- 6 th intercostal space mid-axillary line y Rapid auscultation should be done in emergency situations and after...
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This note was uploaded on 09/08/2009 for the course EMT Firetech 9 taught by Professor Pittman during the Fall '08 term at East Los Angeles College.
- Fall '08