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Directions: Use this checklist to observe and document competencies that specifically address responding to injuries. As you observe and reflect on a staff member’s practice, indicate how often the staff member performs the following actions using the scale provided. Share your observations with staff and use the information learned from the checklist to identify goals and focus your coaching interactions.

Note: The term “children” is used throughout this checklist to refer to any individual between the ages of 6 weeks and 12 years of age.

1. Staff member has a fully-stocked first aid kit in the classroom or program area.
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   5
2. Staff member carries a first aid kit on the playground and on field trips.
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   5
3. Staff member demonstrates how to stop bleeding.
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   5
4. Staff member describes what to do if a child is not breathing.
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   5
5. Staff member describes how and when to contact emergency responders (i.e., 911).
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   5
6. Staff member completes accident report forms accurately and in a timely manner.
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   5
7. Staff member communicates with families about injuries.
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   5
8. Staff member remains calm during emergency situations that involve injury.
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   5