Raven EMS Education Program Manual
Circulation AED Evaluation Form

Date:

Student name:

Evaluator name:

Steps:

• Take BSI precautions.
• Check for responsiveness by shouting and gently shaking the shoulder. If the patient is unresponsive, simultaneously check the carotid pulse and check for signs of breathing or only gasping. If pulse is absent and there are no signs of breathing, proceed to next step.
• Begin cycles of 30 compressions and two breaths. Use the AED as soon as it is available. If cardiac arrest is witnessed, proceed to next step.
• Turn on the AED. Apply the adhesive pads and connect them to the AED. Press the analyze button. If your AED has voice prompts, follow the verbal instructions. Do not touch the patient. Allow the AED to analyze the rhythm.
• If a shock is advised, press the button to defibrillate the patient. If no shock is advised, perform five cycles of CPR.
• As soon as the shock is delivered, begin CPR starting with chest compressions. Perform five cycles of CPR (about 2 minutes). After 2 minutes of CPR, go back to reanalyze the cardiac rhythm.

Passing criteria:

• Pass: At least 70% (? of ?) successfully completed above. Currently at 0% completed.
• Fail.

Comments:

Evaluator signature:
Clear

	Relevant. Resolute. Ready.
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