Paramedic Skills Checklist
   NAME  
   Email-Id
   DATE    
I hereby certify that ALL information I have provided on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.

Instructions:

This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

 
Proficiency Scale: 1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently

 
Rating Stars (Click)
Airway Assessment/ Management 1
2
3
4
Oxygen administration
Head tilt/chin lift
Nasal cannula
BVM (bag valve mask)
Oral/ Nasal airway
Venturi mask
Simple face mask
Demand valve-02 powered
Non-rebreather
Partial rebreather
Rating Stars (Click)
Endotracheal Intubations 1
2
3
4
Nasotracheal
Cricoid pressure
Needle cricothyroidotomy
End tidal CO2 monitoring
Modified jaw thrust (trauma)
Rating Stars (Click)
Care of Patients with 1
2
3
4
Acute abdomen
Aneurysms
AMI (Acute myocardial infarction)
Lung contusions
CHF (congestive heart failure)
Hypertension
Inhalation injuries
Pulmonary edema
Seizure
Tension pneumothorax
Open chest wounds
Fractures
Closed
Open
Gunshot wound
Sucking chest wound
Sepsis
Overdose
Head injury
Stabbing
Burns
Gastroenteritis
Obstetric emergencies
Impending delivery
Placentia previa
Trauma
Eclampsia/ Pre-Eclampsia
Needle decompression of tension pneumothorax
CVA (cerebral vascular accident)
Unstable angina
GI (gastrointestinal) bleed
MVC (motor vehicle collision)
COPD (chronic obstructive pulmonary disease)
Epiglottis
Croup
Hypovolemic shock
Esophageal bleeding
Amputations
Asthma
Hypo/Hyperglycemia
Eye injuries
Cardiac arrest
Rating Stars (Click)
Dysrhythmias 1
2
3
4
PEA (pulseless electrical activity)
Asystole
VF (ventricular fibrillation)
3'rd degree heart block
Ventricular tachycardia
Atrial fibrillation
Atrial flutter
Junctional escape rhythm
2'nd degree heart block
Rating Stars (Click)
Medications 1
2
3
4
Activated charcoal
Narcan
Dextrose 50%
Furosemide
Lidocaine
Magnesium sulfate
Nitroglycerin
Dobutamine
Oral glucose
Normal saline
Epinephrine
Procanimide
Sodium bicarbonate
Vasopressin
Epi-Pen
Oxygen
Aspirin
Calcium chloride
Diazepam
Adenosine
Amiodarone
Verapamil
Dopamine
Diltiazem
Proficiency Frequency
Rating Stars (Click)
Medication Administration 1
2
3
4
IV Therapy
Intraosseus
Peripheral
Internal/ external jugular
Subclavian
IV push
Piggyback
Continuous drips
Oral administration
Sublingual
Intramuscular
Subcutaneous
Endotracheal
Nasogastric
Rectal
Nebulizer/ Aerosol
Rating Stars (Click)
Immobilization/ Extrication 1
2
3
4
Long board/ short board
Cervical collar (soft/ rigid)
Head blocks and straps
KED (Kendrick extrication device)
Traction splint
Leg/ arm splints
Rating Stars (Click)
Extrication Equipment/ Vehicle 1
2
3
4
Equipment
Wrecking bar
Bolt cutters
Hacksaw and blades
Screwdrivers (Philips and Flathead)
Wrench
Fire extinguisher
Vice pliers
Trauma shears
Rating Stars (Click)
Emergency Equipment 1
2
3
4
AED (automatic external defibrillator)
Defibrillator (manual)
Pulse oximeter
Infusion pumps
Accucheck (blood glucose)
12 lead EKG
BP (blood pressure) cuffs
Stretchers
Ventilators
Rating Stars (Click)
Patient population 1
2
3
4
Neo-natal
Pediatric
Adolescent
Adult
Geriatric