UNIVERSITY OF SANTO TOMAS

National Service Training Program

Civic Welfare Training Service/ Literacy Training Service

NSTP SECTION:___________________
DATE:_________________________
GROUP NAME:___________________
SCORE:________________________
GROUP LEADER:________________________________
FACILITATOR:___________________
MEMBERS:

DISASTER MANAGEMENT AND PREPAREDNESS EVALUATION TOOL FOR

STUDENTS
Reminders:
1. Make sure to watch the videos, provided by your NSTP facilitator, prior to the
date of your practical exam and practice them with your group mates.
2. Read and understand e-READ Chapter 4: Disaster Management and
Preparedness
3. Things to bring:
a. Blanket (1 per group)
c. Drinking water
b. Extra clothes
d. Printed evaluation tool (1 per
group)
Skill
Yes
No
Remarks
Scene Assessment (5 Points)
1. Ensure the safety of the emergency
scene by looking for hazards that could
be dangerous to you, the victim or
bystanders
2. Determine the mechanism or cause of
the injury or illness and the number of
Disaster Management And Preparedness
Evaluation Tool For Students
Revised 2013
Page 1

victims
3. Activate the EMS system
Man with the ___ shirt, call an
ambulance
4. Determine unresponsiveness by tapping
the victim on both shoulders and ask
loudly. Hey! Hey! Are you okay?
5. Establish rapport with the victim by
introducing yourself and explaining that
you are there to help.
Airway and Spine Stabilization (4
Points)
1. Head-Tilt/Chin Lift Maneuver
2. Jaw Thrust Maneuver
3. Do the finger sweep. Wrap your
index and middle finger in cloth and
sweep any liquid or foreign objects
seen in the mouth.
4. Establish manual in-line spinal
stabilization by bringing the victims
head into a neutral in-line position.
Have someone in the scene hold the
victims head so that the nose is in
line with the navel (belly button) and
the neck is not bent forward or
backward. Maintain this position all
throughout the procedure.
Breathing and Circulation Assessment
(5 Points)
1. Look for chest rise and fall
2. Listen for sounds of air movement
coming from the victim by placing
your ear next to the victims mouth
and nose
3. Feel for air passing in and out by
placing your cheek next to the
victims mouth and nose
4. Assess the circulation by feeling for
the carotid pulse. Using the index
and middle fingers, locate the
Adams apple and slide your fingers
to the side near you.
5. Check for serious or profuse
bleeding by looking over the victims
entire body for blood (blood-soaked
clothing or blood pooling on the floor
Disaster Management And Preparedness
Evaluation Tool For Students
Revised 2013
Page 2

1.
2.
3.
4.

or ground).
Basic Life Support (5 Points)
Position shoulders over hands with
elbows locked and arms straight
Give 30 chest compressions within
15-18 seconds with minimized
interruption
Allow the chest to return to its
normal position after each
compression
Give 2 one-second rescue breaths
while pinching nose

5. Pulse check every 2 minutes until

victim is revived or until help
arrive
Disability Check (11 Points)
1. Treat all unconscious victims as if
they have spine injuries until proven
otherwise
2. Recognize the signs and symptoms
of fractures
3. Apply a rigid cervical collar to the
victims neck.
4. Prepare the materials for splinting.
Pad the splints to prevent pressure
and discomfort to the victim;
prepare the triangular bandages.
5. Assess the pulse and sensation
below the injury.
6. Measure the splint to make sure it is
the right size. The splint should be
long enough to immobilize the entire
bone plus the joints above and
below the fractured site.
7. Splint the injury in the position you
found it. Immobilize the entire
injured extremity plus the joints
above and below the fractured site.
8. Secure the splints with the bandages
starting from the distal end of the
splint to the proximal end. In slipping
the bandage under the extremity,
place the bandage over a separate
splint and slide the splint under the
extremity.

Disaster Management And Preparedness

Evaluation Tool For Students
Revised 2013
Page 3

9. Splint firmly enough to immobilize

but not tightly enough to stop blood
circulation
or
prevent
lung
expansion. In securing the chest with
a bandage, ask the victim to inhale
deeply or if unconscious, use three
finger breadths as allowance for lung
expansion before tying the bandage.
10.Make sure that the bandages have
no loose ends. For added protection,
put some padding in between splints
and the treated extremity.
11.Reassess the pulse and sensation
below the injury after you apply the
splint and evaluate these signs
every 15 minutes to make sure that
the splint is not impeding circulation.

Moving the Victim (5 Points)

Using the Spine Board

Yes

No

Remarks

1. The long board within arms reach kneel

at the victims side, reach across the
victim and grab his or her shoulder and
hip. With another first aider stabilizing
the head and neck, log roll the victim
toward
you.
Ensure
synchronized
movement.
2. With the victim on his or her side,
examine the victims back for possible
cuts and injuries; then pull the
backboard toward you and place it on
edge against the victims back.
3. Make sure that the victim is at the
center of the backboard. Use the push
and pull technique in moving the victim;
lifting should be avoided.
4. Strap the victim securely to the board
using the triangular bandages. (As
shown in the video)
5. In moving the victim, make sure to go
about it in a synchronized manner. The
squad leader shall initiate the lifting
using commands.
Disaster Management And Preparedness
Evaluation Tool For Students
Revised 2013
Page 4

Using an Improvised Stretcher

(Blanket)
1. Lay out the blanket so you are standing
facing the long side with the short
edges to the right and left.
2. Lay one pole about 1/3 of the way from
the right side and fold the right flap of
the blanket over the pole
3. Lay the second pole on top of both
layers 1/3 from the left edge
4. Fold left flap over the top
5. Lay the patient on top
Using an Improvised Stretcher -Shirt
1. The first rescuer grasps the litter poles
on both hands
2. While the first rescuer is grasping the
litter poles, the second rescuer pulls the
shirt off the head of rescuer one.
3. All buttons should be buttoned with the
possible exception of the collar and
cuffs.
4. The
rescuers
then
reverse
the
procedure and switch sides.
5. Lay the patient on top

Lifts and Carries (15 Points)

Yes

No

Remarks

Yes

No

Remarks

Scor
e

Remarks

1. One Rescuer (5 Points)

2. Two Rescuer (5 Points)
3. Three or More Rescuers (5 Points)

To be signed by the team leader after the practical exam:

___________________________________
LEADERS SIGNATURE OVER PRINTED NAME

Disaster Management And Preparedness

Evaluation Tool For Students
Revised 2013
Page 5

Disaster Management And Preparedness

Evaluation Tool For Students
Revised 2013
Page 6