Adult CPR and AED American
Skills Testing Checklist Heart
Association.
Student Name __________________________________________________ Date of Test _______________________________
Hospital Scenario: “You are working in a hospital or clinic, and you see a person who has suddenly collapsed in the
hallway. You check that the scene is safe and then approach the patient. Demonstrate what you would do next.”
Prehospital Scenario: “You arrive on the scene for a suspected cardiac arrest. No bystander CPR has been provided.
You approach the scene and ensure that it is safe. Demonstrate what you would do next.”
Assessment and Activation
☐ Checks responsiveness ☐ Shouts for help/Activates emergency response system/Sends for AED
☐ Checks breathing ☐ Checks pulse
Once student shouts for help, instructor says, “Here’s the barrier device. I am going to get the AED.”
Cycle 1 of CPR (30:2) *CPR feedback devices preferred for accuracy
Adult Compressions Adult Breaths
☐ Performs high-quality compressions*: ☐ Gives 2 breaths with a barrier device:
• Hand placement on lower half of sternum • Each breath given over 1 second
• 30 compressions in no less than 15 and no more • Visible chest rise with each breath
than 18 seconds • Resumes compressions in less than
• Compresses at least 2 inches (5 cm) 10 seconds
• Complete recoil after each compression
Cycle 2 of CPR (repeats steps in Cycle 1) Only check box if step is successfully performed
☐ Compressions ☐ Breaths ☐ Resumes compressions in less than 10 seconds
Rescuer 2 says, “Here is the AED. I’ll take over compressions, and you use the AED.”
AED (follows prompts of AED)
☐ Powers on AED ☐ Correctly attaches pads ☐ Clears for analysis ☐ Clears to safely deliver a shock
☐ Safely delivers a shock
Resumes Compressions
☐ Ensures
compressions are resumed immediately after shock delivery
• Student directs instructor to resume compressions or
• Student resumes compressions
STOP TEST
Instructor Notes
• Place a ✓ in the box next to each step the student completes successfully.
• If the student does not complete all steps successfully (as indicated by at least 1 blank check box), the student must receive
remediation. Make a note here of which skills require remediation (refer to Instructor Manual for information about remediation).
Test Results Circle PASS or NR to indicate pass or needs remediation: PASS NR
Instructor Initials __________ Instructor Number _____________________________ Date _____________________________
© 2016 American Heart Association
