Practice Analysis

Registry Exam Study Guide

2/2/2004 1

PATIENT ASSESSMENT

• Obtain vital signs
• Obtain an AMPLE history
• Assess mechanism of injury
• Assess nature of illness
• Perform an initial (primary) patient assessment
• Provide care based on initial (primary) assessment findings
• Perform a history and physical examination focusing on the specific injury
• Perform a history and physical examination focusing on a specific medical condition
• Perform a detailed (secondary) physical examination
• Provide care based on detailed (secondary) physical assessment findings
• Perform patient reassessments

AIRWAY AND BREATHING

• Assess patient's ventilatory status
• Perform techniques to assure a patent airway
• Provide ventilatory support for a patient
• Use oxygen delivery system components (nasal cannula, face mask, etc..)
• Assess a patient for respiratory distress
• Provide treatment for a patient in respiratory distress
• Provide care to a patient with a penetrating chest injury

CIRCULATION

• Assess a patient for pain or discomfort
• Provide care to a patient experiencing chest pain/discomfort
• Attempt to resuscitate a patient in cardiac arrest
• Provide post-resuscitation care to a cardiac arrest patient
• Assess a patient for external bleeding
• Provide care for external bleeding
• Assess a patient for internal bleeding
• Provide care for internal bleeding
• Assess a patient for signs of shock (hypoperfusion)
• Provide care to a patient with shock (hypoperfusion)

MUSCULOSKELETAL/BEHAVIORAL/NEUROLOGICAL/ENVIRONMENTAL

Assess and provide care for a patient with:

• an altered mental status
• history of diabetes who has an altered mental status
• an allergic reaction
• suspected poisoning
• possible overdose
• environmental exposure to cold
• environmental exposure to heat
• a near-drowning
• animal or insect bite or sting
• behavioral problem such as threatening suicide, violence, etc..
• seizure

Registry Exam Study Guide

2/2/2004

CHILDREN AND OB/GYN

• Assess a patient with suspected abuse or neglect
• Provide care to patients and the families involved in suspected abuse or neglect
• Assess an obstetric patient
• Provide care for the obstetric patient
• Assist with the delivery of an infant
• Provide care to the newbom
• Provide care to the mother immediately following delivery of a newbom
• Assess the patient with a gynecological emergency
• Provide care to the patient with a gynecological emergency
• Assesses an ill or injured infant or child with respiratory distress
• Assesses an ill or injured infant or child with shock (hypoperfusion)
• Assesses an ill or injured infant or child with cardiac arrest
• Assesses an ill or injured infant or child with seizures
• Assesses an ill or injured infant or child with trauma
• Assesses an ill or injured infant or child suspected abuse or neglect
• Provides care to an ill or injured infant or child with respiratory distress
• Provides care to an ill or injured infant or child with shock (hypoperfusion)
• Provides care to an ill or injured infant or child with cardiac arrest
• Provides care to an ill or injured infant or child with seizures
• Provides care to an ill or injured infant or child with trauma
• Provides care to an ill or injured infant or child with suspected abuse or neglect

EMS SYSTEMS/ETHICAL/COMMUNICATIONS/DOCUMENTATION/TRIAGE/TRANSPORTATION

• Provide for safety of self, patient and fellow workers
• Make decisions regarding abandonment, refusal of care, negligence etc...
• Assess the need for additional resources at the scene
• Communicate with patient while providing care
• Communicate with bystanders, other health care providers and patient family members while providing patient care
• Use telecommunication devices such as radio, phone, etc...
• Provide a report to medical direction of assessment findings and emergency care given
• Complete a pre-hospital care report
• Dispose of sharps (needles, syringes, etc.)
• Dispose of materials contaminated with body fluids
• Take infection control precautions (body substance isolation)

SKILLS

• EKG interpretation
• Medication dose calculations
• ACLS Protocols
• Pharmacology