Paramedic Primary Assessment Sheets - V-4 - Primary OSCE Assessment Sheets

Sep 20, 2026

Paramedic Primary Assessment Sheets for the PHECC National Qualification in Emergency Medical Technology (NQEMT) OSCE at Level 5 (Paramedic), detailing the six primary stations assessed. Includes general OSCE guidance, completion requirements, and critical elements marked for success. Provides station step-by-step checklists for cardiac arrest scenarios (asystole/cease resuscitation and VF/VT with defibrillation and CPR), plus adult foreign body airway obstruction and recovery position. Captures examiner notes, documentation expectations, and PCR-related auditing instructions.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages15

Reading Time38 min

AccessFree to download

General notes

Pass criteria and critical elements

Station checklist guidance

Cardiac Arrest – Asystole – Cease Resuscitation

Sequence of actions

Cardiac Arrest – VF & VT

Shockable rhythm management

Adult FBAO and Recovery Position

Airway obstruction management

| Title: Paramedic Primary Assessment Sheets V-4 | | Page: 1 of 15 | | --- | --- | --- | | Owner: LD | Approved by: Examination Quality Group | Approval date: March 2017 | PHECC National Qualification in Emergency Medical Technology (NQEMT) Objective Structured Clinical Examination (OSCE) Primary Assessment Sheets Level 5 – Paramedic – Primary Skills Primary stations The six (6) primary stations assessed in the NQEMT-Paramedic examination which are drawn from the skills objectives relating to PHECC’s Education and Training Standards. Learning Outcome 1, Domain 1; and Learning Outcome 1, Domain 2 General notes OSCE assessment sheets for inclusion in an NQEMT examination will be available on [www.phecc.ie](www.phecc.ie for a minimum of)[ for a minimum of](www.phecc.ie for a minimum of) sixty (60) days prior to the examination. White text on a black background indicates either an instruction to the examiner/candidate or separates two distinct skills on the assessment sheet. Successful completion of each OSCE requires the candidate to score 80% of each station’s elements. Critical elements, which the candidate must successfully achieve to successfully complete the station, are marked with an asterisk (*) on the assessment sheet. There are no critical elements on secondary assessment sheets. | Assessment Name:
Unique Identifier: Level / Section:
Current Version: | Cardiac Arrest – Asystole – Cease Resuscitation
PARA_AA_P001
Paramedic / Medical Emergencies Version 4 (December 2016)
| | --- | --- | | Candidate Number: | Assessment Date: | | --- | --- | | | | | | Candidate is read an appropriate scenario | | | --- | --- | --- | | 1 | Assemble equipment (Connect O2 and reservoir to BVM) | | | 2 | Check responsiveness | | | 3 | Turn on defibrillator (Early in sequence) | | | 4 | Open airway | | | 5 | Assess breathing & pulse (5-10 seconds) (Examiner note: no breathing, no pulse) | | | 6 | Request ALS and additional personnel | | | 7 | Prepare patient’s chest (Appropriate checks) | | | 8 | Place left defibrillation pad in correct location | | | 9 | Place right defibrillation pad in correct location | | | 10 | Ascertain rhythm (Verbalise) | | | | Non Shockable rhythm | | | 11 | Provide CPR for 2 minutes | | | 12 | Consider OPA/advanced airway (Verbalise) | | | 13 | Minimise “hands off” time | * | | 14 | Ascertain rhythm (Verbalise) | | | 15 | Correct hand placement | | | 16 | CPR assist device Consider mechanical | | | | Non-Shockable rhythm | | | 17 | Immediately resume CPR for 2 minutes | | | 18 | Consider causes and treat as appropriate | | | 19 | Ascertain rhythm (Verbalise) | | | | Candidate is advised - “you are on scene for 10 minutes, ALS is 40 minutes away” | | | 20 | Consider cease resuscitation (Verbalise) | | | 21 | Confirms unwitnessed arrest (Verbalise) | | | 22 | Identifies unresponsiveness | | | 23 | Identifies absence of central pulse and respiration | | | 24 | Identifies asystole and 2 minutes CPR x 3 and no shock indicated x 3 | | | 25 | Refer to CPG prior to ceasing resuscitation (Safe practice) | | | 26 | Inform control (Verbalise) | | | 27 | Record two rhythm strips (10 seconds) | | | 28 | Write required information on rhythm strip | | | 29 | If present inform next of kin and consider emotional support for relatives | | | 30 | Flag PCR for mandatory clinical audit | | | 31 | Identify the cease resuscitation and OHCAR section of PCR | | | | Stop station | | | EXAMINER NOTE: | | | Rule: Line 13 = 1 | Assessment Name: | Cardiac Arrest – VF & VT
PARA_VOPVA_P001
Paramedic / Medical Emergencies Version 4 (December 2016) | | | --- | --- | --- | | Unique Identifier: Level / Section:
Current Version: | | | | Candidate Number: | Assessment Date: | | --- | --- | | | | | | Candidate is read an appropriate scenario | | | --- | --- | --- | | 1 | Assemble equipment (Connect O2 and reservoir to BVM) | | | 2 | Check responsivenes

FAQs

What are the pass requirements for each OSCE station in these primary assessment sheets?

Successful completion requires scoring 80% of each station’s elements. Critical elements marked with an asterisk (*) must be successfully achieved to complete the station.

How does the checklist differ between asystole and VF/VT cardiac arrest scenarios?

The asystole scenario focuses on non-shockable rhythm management and cease resuscitation steps, while VF/VT includes analysis/charging, defibrillation, immediate CPR resumption after shock, and ongoing rhythm and documentation requirements.

What documentation and auditing steps are included during the cardiac arrest station?

Candidates are instructed to record rhythm strips, write required information on the rhythm strip, inform control as verbalised, and flag PCR for mandatory clinical audit, including identifying the cease resuscitation and OHCAR section of PCR.

Sep 20, 2026

Upload by Lucas Vance