Checklist OSCE Station 11 BLS (2019)

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STATION 11 BLS

OSCE
BLS by healthcare provider on witnessed suspected-cardiac-arrest victim (out of hospital setting)
no breathing, no pulse one rescuer
Nama : _______________________________
No.Mahasiswa : _______________________________

NO ASPEK YANG DINILAI SKOR


0 1 2 3 4
PROCEDURAL SKILLS
1. GREET , introducing yourself and state can do CPR
2. Safe yourself and the victim from dangerous area.
3. Check for responsiveness
(tap gently the shoulders & shout to wake the victim up)
4. Call for advanced help.
(Scream for help, ask someone to call 118 and get AED)
5. Simultaneously in less than 10” seconds, Look for apneu or gasping, Check for definite carotid pulse.
(If unsure, consider as no breathing and no pulse)
If there’s no breathing or gasping and no pulse, do high quality CPR, with chest compression ventilation ratio 30:2 , if more than 1 rescuer, change
compressor every 5 cycles.
6. Chest compression : CPR: rate 100-120 x/mnt, depth 5-6 cm, full recoil, minimal interuption, interlocking hands position,
perpendicular to body’s victim, lower half of the sternum, 30x chest compression
7. Breathing support: open airway: check foreign body, head tilt, chin lift, jaw thurst. check servical injury (In suspect
cervical spine injury case, open airway with jaw thrust only ). Give 2 breathing support . Adequate volume shown by visible
chest rise, tight mouth-to-mouth/nose/mask seal . Breathing support after chest compression
8. Do CPR with compression ventilation ratio 30:2
9. If Able to start chest compression in : <30 seconds = 3, >30-60 seconds = 2, >1-3 minutes = 1, >3 minutes = 0
10. After 5 cycles check breathing, check pulse response.
11. If AED hasn’t arrived yet, continue high quality CPR.
12. Every completing 5 cycles evaluate victim check breathing, check pulse, do until advanced team arrives or ROSC
13. If the victim ROSC/Return of spontaneous circulation (have breathing and pulse), place the victim in the recovery
position (Remained unresponsive but regained normal breathing and effective circulation)
14. Ensure advanced help is on its way and check victim’s condition periodically (every 2 minute) until advance team
arrives.
PROFESSIONALISM
15. INFORM & CONSENT
Ensure legal aspect by taking consent (if applicable)
16. Able to perform skills confidently, carefully, and able to know your own limitation as helper.
Total

Keterangan: Yogyakarta, ……………………………….


Skor 0 = Tidak dilakukan
Skor 1 = Dilakukan dengan buruk
Skor 2 = Dilakukan dengan baik
Skor 3 = Sempurna (lengkap) Penguji…………………………….........................
Skor 4 = Sempurna (lengkap) & dilakukan dengan baik
GLOBAL RATING* (CENTANG SALAH 1)
(Skor Total) FAIL
Nilai = ------------------------------ x 100% = ……………….……%
BORDERLINE
48
PASS
EXCELLENT

* mahasiswa dapat dinyatakan fail apabila melakukan kesalahan yang dianggap fatal

OSCE TAHUN I

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