BLS-2017-Altered Mental States - Skills Checklist for Recertification - BLS-2017-Stroke - Skills Checklist for Recertification

Q: What are the required steps for BLS-2017 altered mental states recertification?

Complete scene size-up and verbalize key safety/assessment items, perform initial assessment (mental status, airway, breathing, circulation), collect focused history using SAMPLE and OPQRST, document baseline vitals and exams, and demonstrate appropriate assessment and treatment including oxygen, glucose testing documentation, and ALS/transport rationale.

Q: How should the suspected stroke skill checklist be performed?

Follow scene size-up and initial assessment, obtain focused history using SAMPLE and OPQRST, assess using FAST for potential stroke, determine the need for ALS with stated rationale, and include rapid transport considerations plus required care elements such as oxygen and communication/documentation.

Q: What documentation and evaluation items are included in these checklists?

Both forms require timely and effective short report when indicated and completion of the SOAP narrative portion of the incident response form. Evaluators sign with ID#, and separate fields capture vital signs, oxygen, ECG rhythm, medications, pulse oximetry SpO2, glucometry, and chief complaint/narrative.

Sep 23, 2026

Uploaded by Maya Linwood

Skills checklist for EMS recertification covering two scenarios: altered mental states and suspected stroke. Includes sections for scene size-up, initial assessment, focused history (SAMPLE/OPQRST), objective physical examination with AVPU and pupil assessment, and scenario-specific assessment (FAST for stroke). Lists required plan elements such as oxygen administration, glucose testing with documentation, pulse oximetry, “Code CVA” timing, sepsis triangle use, ALS need rationale, communication, SOAP documentation, and evaluator scoring with vital signs and incident narrative fields.

LanguageEnglish

CategoryExam

FormatPDF

Pages10

Reading Time25 min

AccessFree to download

Skills Checklist for Recertification

BLS-2017-Altered Mental States

BLS-2017-Stroke

| BLS-2017-Altered Mental States
EMERGENCY MEDICAL SERVICES (11/10 MH) | | | | | | | | | SKILLS CHECKLIST
FOR RECERTIFICATION | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | NAME | PRINT STUDENT’S NAME | | | | | | ID \# | | | | | | DATE | | | | Objective: Given a partner, appropriate equipment and an altered mental status, demonstrate appropriate assessment and treatment as outlined in BLS-2017-Altered Mental States and EMT Patient Care Guidelines. | | | | | | | | | | | | | | | | | SCENE SIZE-UP (must verbalize) | | | | | | | | | | | | | | | | | 􀂅 BSI | | 􀂅 Scene Safety | | 􀂅 Determines NOI/MOI | | | | 􀂅 Number of Patients | | | | 􀂅 Additional Resources | | | | | INITIAL ASSESSMENT (must verbalize) | | | | | | | | | | | | | | | | | 􀂅 Mental Status
􀂅 Chief complaint | | | 􀂅 Airway
􀂅 C-spine | | 􀂅 Breathing | 􀂅 Circulation
􀂅 Bleeding | | | | 􀂅 Body Position
􀂅 Obvious Trauma | | | | 􀂅 SICK
􀂅 NOT SICK | | | SUBJECTIVE (FOCUSED HISTORY) | | | | | | | | | | | | | | | | | 􀂅 Establishes rapport with patient (reassures and calms) and obtains consent to treat (implied/actual)
􀂅 Determines patient’s chief complaint and follows SAMPLE and OPQRST investigation
􀂅 Determines time of onset of signs or symptoms (On scene time <15mins for Stroke patients)
􀂅 Obtains names/dosages of current medications | | | | | | | | | | | | | | | | | OBJECTIVE (PHYSICAL EXAM) | | | | | | | | | | | | | | | | | 􀂅 Records and documents baseline vital signs (looks for Medical Alert bracelets, anklets, necklaces)
􀂅 Performs appropriate medical/trauma exam—exposes/checks for bleeding and/or injuries
􀂅 Checks for neurologic deficits using AVPU ( Demonstrates use of noxious stimulus in unresponsive pt. )
􀂅 Demonstrates proper assessment of pupils | | | | | | | | | | | | | | | | | ASSESSMENT (IMPRESSION) | | | | | | | | | | | | | | | | | 􀂅 Demonstrates use of the “FAST” Exam for potential stroke patients
􀂅 Determines if ALS is needed—states rationale | | | | | | | | | | | | | | | | | PLAN (TREATMENT) | | | | | | | | | | | | | | | | | GENERAL CARE (Check all that apply)
􀂅 Reports “At Patient’s Side”
􀂅 Indicates need for ALS and/or immediate transport (SICK)
􀂅 Administers appropriate rate and delivery of oxygen (as indicated)
􀂅 Properly positions patient
􀂅 Monitors patient’s vital signs
􀂅 Considers IOS
􀂅 Performs glucometry (documentation required)
􀂅 Performs pulse oximetry
􀂅 Initiates “Code CVA”(“On-scene” time<15 mins)
􀂅 Appropriate use of the:
“EMS Sepsis Triangle”
􀂅 Contacts receiving hospital
􀂅 Performs pt. reassessment | | | | | | | | | | | CRITICAL (FAIL) CRITERIA DID NOT
􀂅 Take/verbalize BSI
􀂅 Appropriately provide/manage airway, breathing, bleeding control, treatment of shock
􀂅 Administer appropriate rate and delivery of oxygen
􀂅 Indicate need for ALS and/or immediate transport (SICK) | | | | | | COMMUNICATION AND DOCUMENTATION | | | | | | | | | | | MEETS STANDARDS (RECERT) | | | | | | 􀂅 Delivers timely and effective short report (if indicated)
􀂅 Completes SOAP narrative portion of incident response form | | | | | | | | | | | 􀂅 YES 􀂅 NO
2nd ATTEMPT
􀂅 YES 􀂅 NO | | | | | | EVALUATOR SIGN YOUR NAME ID \# | | | | | | | | | | | IF NO EXPLAIN | | | | | __________________________ _______________ __________ BLS-2017-Altered Mental States Student Name Recert Yes No Date Written Score | TIME 􀃆 | | | | | | | | --- | --- | --- | --- | --- | --- | --- | | Blood Pressure | | | | | | | | Pulse Rate | | | | | | | | Respiratory Rate | | | | | | | | Consciousness | | | | | | | | ECG Rhythm | | | | | | | | Oxygen | | | |

FAQs

What are the required steps for BLS-2017 altered mental states recertification?

Complete scene size-up and verbalize key safety/assessment items, perform initial assessment (mental status, airway, breathing, circulation), collect focused history using SAMPLE and OPQRST, document baseline vitals and exams, and demonstrate appropriate assessment and treatment including oxygen, glucose testing documentation, and ALS/transport rationale.

How should the suspected stroke skill checklist be performed?

Follow scene size-up and initial assessment, obtain focused history using SAMPLE and OPQRST, assess using FAST for potential stroke, determine the need for ALS with stated rationale, and include rapid transport considerations plus required care elements such as oxygen and communication/documentation.

What documentation and evaluation items are included in these checklists?

Both forms require timely and effective short report when indicated and completion of the SOAP narrative portion of the incident response form. Evaluators sign with ID#, and separate fields capture vital signs, oxygen, ECG rhythm, medications, pulse oximetry SpO2, glucometry, and chief complaint/narrative.

Sep 23, 2026

Uploaded by Maya Linwood