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ACLS Skills Checklist

This document provides a skills checklist for Advanced Cardiac Life Support (ACLS) testing. It lists the critical actions and steps for bag-mask ventilation that a student must demonstrate correctly, including checking responsiveness, activating emergency response, checking pulse, delivering oxygen, inserting an airway, and performing one minute of effective bag-mask ventilation with proper rate and volume. It also outlines the steps for a first rescuer to perform bag-mask ventilation on an adult, child, or infant, including checks for responsiveness, activating emergency response, checking pulse, delivering compressions and breaths in the proper sequence and timing.

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Kary Parra
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890 views2 pages

ACLS Skills Checklist

This document provides a skills checklist for Advanced Cardiac Life Support (ACLS) testing. It lists the critical actions and steps for bag-mask ventilation that a student must demonstrate correctly, including checking responsiveness, activating emergency response, checking pulse, delivering oxygen, inserting an airway, and performing one minute of effective bag-mask ventilation with proper rate and volume. It also outlines the steps for a first rescuer to perform bag-mask ventilation on an adult, child, or infant, including checks for responsiveness, activating emergency response, checking pulse, delivering compressions and breaths in the proper sequence and timing.

Uploaded by

Kary Parra
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ACLS​ ​Advanced Cardiac Life Support​ ​ Skills Checklist


Student Name:​ _________________________________________ ​Test Date:​ ________________________ 
 
 

ACLS Bag-Mask Ventilation   Check if done 
correctly 
Testing Checklist Performance Guidelines and Critical Actions 
BLS Survey and Interventions 

Checks for responsiveness   
● Taps and shouts, “Are you alright?” 
● Scans check for movement (5-10 seconds) 

Activates the emergency response system   
● Activates the emergency response system and gets the AED 
                                                     Or 
● Directs second rescuer to activate the emergency response system and get the 
AED 

● Check carotid pulse (5-10 seconds). Note that pulse is present   
● Does not initiate check compressions or attach AED 
● Performs ventilations at the correct rate of 1 breath every 5-6 seconds (10-12 breaths 
per minute) 

ACLS Survey Case Skills 

Inserts oropharengeal or nasopharengeal airway   

Administer oxygen   

Performs correct bag-mask ventilation for 1 minute   

Critical Actions 

Effectively ventilates with a bag-mask device for 1 minute   

Gives proper ventilation - rate and volume   

 
   
 

ACLS​ ​Advanced Cardiac Life Support​ ​ Skills Checklist


Student Name:​ _________________________________________ ​Test Date:​ ________________________ 
 
 
Check if done 
Steps   Adult/Child/ BLS - 1 and 2 Responders  correctly 

First Rescuer Bag-Mask Ventilation 
● Note: Evaluate the first rescuer’s ability to give breaths with a bag mask. 

Checks for responsiveness: Taps and shouts, “Are you all right?” and scans   
1  the chest for movement (5-10 seconds) 

2   Tells someone to activate the emergency response system and get an AED   

3  Checks carotid pulse (minimum 5 seconds,maximum 10 seconds)   

4  Bares patient’s chest and locates CPR hand position   

Delivers first cycle of compressions at correct rate (acceptable: 18 seconds or   
5   less for 30 compressions) 

6  Gives 2 breaths (1 second each)   

Delivers second cycle of compressions at correct hand position (acceptable:   
7  greater than 23 of 30 compressions) 

8  Gives 2 breaths (1 second each) with visible chest rise   

▢ PASS    ▢ Needs Retest 
 
Instructor Name:​ _________________________________________  ​Date:​ __________________ 
 

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