I’m going to call for an ALS unit and have my partner hold c-spine.” The mechanism of injury is a gunshot wound (GSW).” “It appears I have one patient. “I’m putting on gloves for BSI and I’m checking to make sure the scene is safe.” “The scene is safe. You are dispatched to a street address where a 24 year-old male is lying supine on the sidewalk after being shot once.
For example: You may need to call animal control, call law enforcement investigate the smoke smell, call the Fire Department and evacuate with patient. This means you need to take steps to make this scene safe.
When checking for scene safety, the proctor may say there is an angry dog barking, or you hear loud arguing or you smell smoke. In this scenario the EMT is able to quickly verbalize most of the scene size-up and can now move on to the primary survey. I’ve considered C-spine, but don’t find it necessary based on the patient’s complaint of chest pain.” “The nature of illness is chest pain and I have one patient. I’m checking to make sure my scene is safe.” (Look to your proctor for any verbal response that your scene is not safe.) “Ok my scene is safe.” You may want to introduce yourself to the patient at this time and ask questions to determine NOI. You are dispatched to the home of a 62 year-old female complaining of chest pains for 12 minutes.
Sizeup careers how to#
Here are some examples of how to get through the EMT scene size-up portion of the NREMT test. You can do this by making statements, asking questions or through demonstrations. The important thing is to hit each of the six scene size-up steps listed above. This lets them know you aren’t just parroting words you memorized.įor NREMT patient assessment testing scenarios, it’s common to get through the scene size up pretty quickly. These small gestures can indicate to your proctor that you understand everything you are saying. “I put on a reflective vest for PPE and safety.” If your testing scenario has a MVA near a highway, instead of just saying PPE, you can say: “I’m putting on my gloves for BSI personal protection” while you put on your gloves. However, a better way to earn the confidence of your proctor is to state: However, you can be failed for missing Critical Criteria steps in the patient assessment.ĭuring the patient assessment portions of your NREMT psychomotor testing you may be able to get away with stating BSI or PPE. Requests additional EMS assistance if necessaryĮach step listed above is valued at one point during the EMT psychomotor exam.Determines the mechanism of injury/nature of illness.Takes or verbalizes appropriate PPE precautions.Here are the scene size-up steps exactly as they appear on the NREMT psychomotor exam skill sheet. Then it will focus on reviewing scene size-up steps for the NREMT cognitive exam and real life scenarios. → This page will go over scene size-up for the patient assessment portion of the psychomotor exam first. Learning the steps to pass the NREMT while integrating them into real world scenarios is a good way to stay sharp and stay safe in the field. Over time they can become a requirement for passing a test, rather than a way to protect yourself, your crew, and your patient. It can be easy to habitually repeat “BSI, scene safe” while practicing skills. The Scene Size-up is the first section of both the Patient Assessment/Management Medical and Trauma skills as set forth by the National Registry of Emergency Medical Technicians. Sizing up a scene is an important skill that EMS perform at every call.
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