Clueless in the Valley

This morning I was a proctor for a state EMT Practical Exam at one of the local community colleges. Now I can understand a little test apprehension and anxiety-related mistakes, but some of these students really didn't have a clue. Now I did my first Basic class there (all those years ago… when the College was still using LP-5's…), so I know the instruction isn't lacking, if you put a little effort in it… But some of these people didn't manage to do that… Some of the more egregious errors:

  • Lack of taking Body Substance Isolation precautions on the AED/CPR station… Ok, just a silly test-anxiety related error. No biggie.
  • The guy that let me do continuous rounds of CPR and shocking for 10 minutes, without ever transporting the patient.
  • The guy that did not direct me to stop CPR when verifying absence of a pulse before applying the AED. When advised that the patient did have a pulse, (since I was doing compressions) he proceeded to apply the AED and shock a patient, for all he knew, had a pulse.
  • The guy that took off the defib patches, and turned off the AED between shocks.
  • The girl that applied a cervical collar so that the back piece touched the patient's external occipital protuberance. (Just slightly big)
  • The girl that checked for distal pulse, motor and sensation with the frac-pak splint half on. No this doesn't count as checking PMS before and after spint application - you actually need to do it twice. :roll: (And this was her second time failing the long-bone immobilization station. How do you do that?) :roll:

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Gabi Says:

Hope none of these people are anywhere near where I am, if I ever need help :eek:

Carsten Says:

Don’t worry the guy from CPHM passed :grin:

 
 
Howard Says:

Just goes to show that there are less than wonderful helathcare providers at all levels, from “lowly” EMTs straight up through all kinds of physicians. . . fortunately I tend to think that most of the students problems from that day was test anxiety. . . I hope. . .

Carsten Says:

Yeah… I think so- I have worked with some of them in the field, and street smarts are much better than “can you memorize the state practical sheets.” Which is what is important in the long run anyways :smile:

I remember my first state practical…. I failed the KED station because the proctor said I put on the wrong sized C-collar. Problem was, there was only 1 collar available :!: On a recert practical, I failed the medical station because I did not put 15 LPM oxygen on an 18 year old female drunk at the local performing arts center.

These tests just don’t apply to the real world, but I guess it’s the closest we can come to it…

 
 

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