NREMT Integrated Out-of-hospital Scenario - Assessment Checklist - Candidate Examiner Date Signature

Sep 23, 2026

NREMT integrated out-of-hospital scenario assessment form defining scoring criteria across leadership and scene management, patient assessment, patient management, and interpersonal relations. Each section lists performance descriptors with points for thorough, complete, incomplete, or absent actions, including hazard identification, primary and secondary survey completion, situational awareness, rapid critical intervention after partner confirmation, and closed-loop therapeutic communication. An integration section evaluates field impression, differential diagnosis prioritization, and transport destination decisions. The form also records actual transport and end times and sets critical failure criteria tied to mandatory actions, competent paramedic management, appropriate affect, and safe, appropriate interventions.

LanguageEnglish

CategoryExam

FormatPDF

Pages1

Reading Time3 min

AccessFree to download

Leadership and Scene Management

Patient Assessment

Patient Management

Interpersonal relations

Integration (Field Impression and Transport Decision)

Candidate: Examiner: Date: Signature Scenario: | Actual Start Time: | Points | Points | | --- | --- | --- | | | Possible | Awarded | | Leadership and Scene Management | | | | Thoroughly assessed and took deliberate actions to control the scene, encouraged feedback from Team Members | 3 | | | Assessed the scene, identified potential hazards, advocated for safety at all times | 2 | | | Incompletely assessed or managed the scene | 1 | | | Did not assess or manage the scene | 0 | | | Patient Assessment | | | | Completed an organized assessment and integrated findings to expand further assessment while maintaining situational awareness | 3 | | | Completed primary survey, secondary assessment and reassessment given patient condition | 2 | | | Performed an incomplete or disorganized assessment | 1 | | | Did not complete a primary survey or reassessment of the patient | 0 | | | Patient Management | | | | Managed all aspects of the patient’s condition, anticipated further needs, identified changes and rapidly intervened after confirming critical interventions with partner | 3 | | | Appropriately managed the patient’s presenting condition with appropriate timeliness, prioritization/ sequence, adapted treatment plan as information became available | 2 | | | Performed an incomplete or disorganized management | 1 | | | Did not manage life-threatening conditions | 0 | | | Interpersonal relations | | | | Encouraged feedback, took responsibility for the team, established rapport and interacted in an organized, therapeutic manner | 3 | | | Interacted and responded appropriately with patient, crew, and bystanders using closed loop communication and appreciative inquiry | 2 | | | Used inappropriate communication techniques | 1 | | | Demonstrated intolerance for patient, bystanders, and crew | 0 | | Actual Time Patient Transported: | Integration (Field Impression and Transport Decision) | | | | --- | --- | --- | | Provided appropriate management, offered a brief summary of prioritized differential diagnoses and considered alternate transport options | 3 | | | Provided appropriate management and identified appropriate field impression, patient acuity and transport destination to team | 2 | | | Provided correct management but did not identify appropriate field impression, patient acuity or transport destination | 1 | | | Did not provide correct management, appropriate field impression, patient acuity or transport destination | 0 | | | Actual Time Ended: TOTAL 15 | | | Critical Criteria Failure to appropriately address any of the scenario’s “Mandatory Actions” Failure to manage the patient as a competent Paramedic Exhibits unacceptable affect with patient or other personnel Uses or orders a dangerous or inappropriate intervention You must factually document your rationale for checking any of the above critical items on the reverse side of this form.

FAQs

How is performance scored in this NREMT out-of-hospital scenario form?

Each domain uses point levels that correspond to thorough/complete versus incomplete or absent actions, then totals the score at the end of the scenario sections.

What does the form require under Patient Assessment?

It requires an organized assessment integrating findings to expand further assessment while maintaining situational awareness, including completing primary survey, secondary assessment, and reassessment.

Which decisions are evaluated in the integration and transport section?

The form evaluates management, prioritized differential diagnoses, field impression, patient acuity, and transport destination, including whether alternate transport options were considered appropriately.

Sep 23, 2026

Uploaded by Sophia Brooks