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Hands Only CPR Checkilist

The document is a checklist used to evaluate nursing students' skills in performing cardiopulmonary resuscitation (CPR) hands-only. It contains 10 steps for performing CPR without rescue breathing. Students are assessed on their verbal or practical demonstration of each step and given a score of 0, 1, or 2. The instructor and student sign off on the completed evaluation after reviewing any comments.

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Romm Jacob
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55 views

Hands Only CPR Checkilist

The document is a checklist used to evaluate nursing students' skills in performing cardiopulmonary resuscitation (CPR) hands-only. It contains 10 steps for performing CPR without rescue breathing. Students are assessed on their verbal or practical demonstration of each step and given a score of 0, 1, or 2. The instructor and student sign off on the completed evaluation after reviewing any comments.

Uploaded by

Romm Jacob
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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SCHOOL OF NURSING

General Luna Road, Baguio City Philippines 2600

Telefax No.: (074) 442-3071 Website: www.ubaguio.edu E-mail Address: [email protected]

CPR HANDS ONLY CHECKLIST

Name of Student: _________________________________________________ Date: _____________________


Year: __________ Section / Group: __________ Clinical Instructor: ____________________________________

Direction:
Please check the appropriate box below to describe verbalized or demonstrated competence level using the following
criteria:
0 = Did not Perform 1 = Not Yet Competent 2 = Competent

PROCEDURE 0 1 2 Comments
1. Check for the scene safety (move to safety if necessary)
2. Wear clean gloves (if available).
3. Check for person’s responsiveness by tapping both shoulder while shouting
“Are you okay’?
4. Quickly scan for any signs of breathing (visible rise and fall of the chest.)
5. Activate Emergency Response System (Call 911).
6. Place the heel of one hand on the center of the chest.
7. Place the heel of the other hand on top of the first hand, lacing your fingers
together.
8. Keep your arms straight, position your shoulders directly over your hands.
9. Push hard and fast:
A. Maintain a rate of 100-120 compressions per minute
B. Maintain a Depth of at least 2 inches (5 cm)

C. Allows the chest to completely recoil after each and every compressions.
10. Continue Compressions until one of the situations are present:
A. Saw an obvious sign of life (E.g. Breathing)
B. Arrival of Emergency Medical Responder
C. Automated External Defibrillator is ready to use
D. If you are too exhausted to continue
E. Scene becomes unsafe
TOTAL =
COMMENTS:

_________________________________________________ _____________________________________________
Name and Signature of Student Name and Signature of Clinical Instructor

Updated by: Noted by: Approved by:

SN Clinical Instructors EVANGELINE SOLIBA, RN, MAN HELEN D. ALALAG, RN, MAN
Program Chair, BSN and HCS Dean, School of Nursing

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SN II-NCLCHN1-01

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