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It includes scoring criteria from N/A through unsuccessful or successful performance, a detailed step-by-step assessment of preparation, verification, aseptic technique, and safe administration, plus critical failure criteria. The checklist also collects timing, total score, comments, and student self-evaluation on whether the skill was successful, within National Registry EMT guidelines.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/intravenous-bolus-medication-administration-skills-lab-skill-lab-form/373554/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/intravenous-bolus-medication-administration-skills-lab-skill-lab-form/373554.png","ImageObject",300,407,{"name":92,"@type":93},"\tJames","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-31","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",16,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What do the scoring levels N/A, 0, 1, and 2 mean for this skill lab?","Question",{"text":113,"@type":114},"N/A indicates not applicable for the patient. 0 is unsuccessful with critical/excessive prompting or inconsistency. 1 is not yet competent, marginal, or inconsistent. 2 is successful and competent without prompting.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"Which steps are evaluated to confirm correct medication administration?",{"text":118,"@type":114},"The form evaluates confirming the medication order, checking for known allergies, selecting the correct medication and the right patient, medication, dosage/concentration, time, and route, and assembling and administering the prefilled syringe correctly while dispelling air.",{"name":120,"@type":111,"acceptedAnswer":121},"What critical failures require special attention even if other steps are performed?",{"text":122,"@type":114},"Critical criteria include improper PPE precautions, contaminating equipment or site without correcting it, failure to adequately dispel air (risking air embolism), wrong medication or dosage or inappropriate push rate, recapping needles or improper syringe disposal, failing to turn on IV after medication, managing the patient incompetently, unacceptable affect, and using or ordering dangerous or inappropriate interventions.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},373554,1790647959,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":24},2336474466412,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","National Registry of Emergency Medical Technicians® Paramedic Psychomotor Competency Portfolio Manual INTRAVENOUS BOLUS MEDICATION ADMINISTRATION SKILLS LAB  \nStudent Name:   Date:    \nInstructor Evaluator:   Student Evaluator:    \nSignature Signature  \n\n| SCORING |  |\n| --- | --- |\n| N/A | Not applicable for this patient |\n| 0 | Unsuccessful; required critical or excessive prompting; inconsistent; not yet competent |\n| 1 | Not yet competent, marginal or inconsistent, this includes partial attempts |\n| 2 | Successful; competent; no prompting necessary |\n\n\n| Actual Time Started:   |  | SCORE |\n| --- | --- | --- |\n| Clearly explains procedure to patient |  | N/A |\n| Selects, checks, assembles equipment |  |  |\n| IV medication |  | N/A |\n| Sharps container |  | N/A |\n| Alcohol swabs |  | N/A |\n| Administers medication |  |  |\n| Confirms medication order |  | N/A |\n| Asks patient for known allergies |  | N/A |\n| Explains procedure to patient |  | N/A |\n| Selects correct medication by identifying: |  |  |\n| Right patient |  | N/A |\n| Right medication |  | N/A |\n| Right dosage/concentration |  | N/A |\n| Right time |  | N/A |\n| Right route |  | N/A |\n| Assembles prefilled syringe correctly and dispels air |  | N/A |\n| Takes or verbalizes appropriate PPE precautions |  | N/A |\n| Identifies and cleanses most proximal injection site (Y-port or hub) |  | N/A |\n| Reconfirms medication |  | N/A |\n| Stops IV flow |  | N/A |\n| Administers correct dose at proper push rate |  | N/A |\n| Disposes/verbalizes proper disposal of syringe and other material in proper container |  | N/A |\n| Turns IV on and adjusts drip rate to TKO/KVO |  | N/A |\n| Verbalizes need to observe patient for desired effect and adverse side effects |  | N/A |\n| Affective |  |  |\n| Accepts evaluation and criticism professionally |  | N/A |\n| Shows willingness to learn |  | N/A |\n| Interacts with simulated patient and other personnel in professional manner |  | N/A |\n\nActual Time Ended:  \nTOTAL  \n0 /48  \n© 2015 National Registry of Emergency Medical Technicians, Inc., Columbus, OH  \nAll materials subject to this copyright may be photocopied for the non-commercial purpose of educational or scientific advancement. p442/01-15  \nCritical Criteria  \n  Failure to take or verbalize appropriate PPE precautions   Contaminates equipment or site without appropriately correcting situation   Failure to adequately dispel air resulting in the potential for air embolism  \n  Injects improper medication or dosage (wrong medication, incorrect amount, administers at an inappropriate rate)  \n  Recaps needle or failure to dispose/verbalize disposal of syringe and other material in proper container  \n  Failure to turn on IV after administering medication   Failure to manage the patient as a competent EMT   Exhibits unacceptable affect with patient or other personnel   Uses or orders a dangerous or inappropriate intervention   Failure to receive a total score of 36 or greater  \n\n| Comments: |\n| --- |\n|  |\n\nSTUDENT SELF-EVALUATION (The examiner is to ask the student to reflect on his/her performance  \nand document his/her response to the following question:)  \nWere you successful or unsuccessful in this skill? 􀂉 Successful  \n􀂉 Unsuccessful","cbCaik8IhaI3uisL","https://ap.wps.com/l/cbCaik8IhaI3uisL","pdf",128223,"English","# Scoring Rubric\n## N/A, 0, 1, 2\n# Skill Performance Checklist\n## Procedure explanation and preparation\n## Equipment, PPE, and aseptic injection site care\n## Medication verification and administration\n## IV flow management and post-administration observation\n## Affective domain evaluation\n# Critical Criteria\n# Comments and Student Self-Evaluation","[{\"question\":\"What do the scoring levels N/A, 0, 1, and 2 mean for this skill lab?\",\"answer\":\"N/A indicates not applicable for the patient. 0 is unsuccessful with critical/excessive prompting or inconsistency. 1 is not yet competent, marginal, or inconsistent. 2 is successful and competent without prompting.\"},{\"question\":\"Which steps are evaluated to confirm correct medication administration?\",\"answer\":\"The form evaluates confirming the medication order, checking for known allergies, selecting the correct medication and the right patient, medication, dosage/concentration, time, and route, and assembling and administering the prefilled syringe correctly while dispelling air.\"},{\"question\":\"What critical failures require special attention even if other steps are performed?\",\"answer\":\"Critical criteria include improper PPE precautions, contaminating equipment or site without correcting it, failure to adequately dispel air (risking air embolism), wrong medication or dosage or inappropriate push rate, recapping needles or improper syringe disposal, failing to turn on IV after medication, managing the patient incompetently, unacceptable affect, and using or ordering dangerous or inappropriate interventions.\"}]","Intravenous Bolus Medication Administration Skills Lab - Skill Lab Form | PDF",1790199877]