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Student Adult CPR Checklist
Student Adult CPR Checklist
Checklist
Student’s ID: ________________________________ Date: _________________________
Scores: Satisfactory (2 points), Needs Improvement (1 point), (0 point)-omitted task
TASKS 2 1 0 Remarks
1. Verify scene safety
2. Assesses for responsiveness
taps the victim’s shoulders.
Shouts “Are you ok?”
Checks for eye opening,
moaning or talking
3. Calls for help, if unresponsive
Activates the emergency
response system (via mobile
device if appropriate)
Comments
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