{
  "metadata": {
    "source_file": "Offshore Diver Medic - Full Course Theory.xml",
    "assessment_id": "ASS_20181005094154_23d34171-5e07-4e07-8",
    "assessment_code": "DMT C-Spine",
    "total_score_items": 26,
    "directly_linked_items": 0,
    "related_items": 26,
    "total_aspects": 0
  },
  "assessment": {
    "type": "assessment",
    "id": "ASS_20181005094154_23d34171-5e07-4e07-8",
    "description": "Practical Skills Assessment - Management of C-Spine injury",
    "weight": "1",
    "active": false,
    "assessment_type": "wpa",
    "norm": "7.5",
    "code": "DMT C-Spine",
    "sort_code": "1",
    "instruction": "YOU CAN NOT PROCEED WITHOUT A QUALIFIED ASSESSOR LOGGING IN. Please ensure you have completed the study unit on wound assessment in order to show proficiency. Good Luck ! BRIEF: The assessor will give you clear and accurate feedback identifying any knowledge or skill gaps and the need for re-evaluation if required. PRE-REQUISITE: This is a timed assessment. (Not facilitation) TIME FRAME - You have 10 minutes. PERFORMANCE LEVEL - (4 )- You must perform this activity without assistance at an appropriate pace with a basic understanding of theory and practice principles. VALIDITY - Scores are computer generated. On completion you may be required to record a maximum voice message or video following the 10 step wound assessment simulating report via Radio medical advice. CANDIDATE DIRECTIVE: Identify and manage treatment of a potential C-Spine injury",
    "auto_activate": true,
    "number_of_retests": "1",
    "metadata": {
      "element_tag": "t_Beoordeling",
      "attributes": {
        "RowNumber": "8",
        "String": "INSERT INTO [t_Beoordeling] ([ID_Beoordeling],[ID_Module], [Omschrijving], [Weging], [Actief], [Type], [Norm], [Code], [Sortcode], [ShowNorm], [AllowSelfenrolment], [StudiePunt], [ToonOmschrijving], [InitialHighestValueChecked], [Instruction], [AutoActivate], [NumberOfRetests], [ShowFullScale])"
      }
    }
  },
  "aspects": [],
  "score_items": {
    "directly_linked": [],
    "related": [
      {
        "type": "score_item",
        "id": "ITM_20181003095725_6e4b326f-c4ee-47e1-9",
        "aspect_id": "ASP_20181003092307_f64a9c63-e110-4674-b",
        "description": "Simulate radio medical advise and describe the wound",
        "weight": "1",
        "sort_code": "1",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "2",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181003091059_3ee3df81-aec6-4107-8",
        "aspect_id": "ASP_20181003090919_5174638c-9b79-4f36-a",
        "description": "Identifies patient status (level of Consciousness)",
        "weight": "1",
        "sort_code": "1",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "3",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005090826_53c632a0-aa17-4307-b",
        "aspect_id": "ASP_20181005090230_ae0d1170-c199-47e6-a",
        "description": "Pain assessment. Uses PQRSTA initially and ongoing to determine when DCI symptoms disappear",
        "weight": "1",
        "sort_code": "2",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "15",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005084355_267d90a8-b19c-4ff9-a",
        "aspect_id": "ASP_20181005084355_a2b1520d-f29b-4ab0-9",
        "description": "Simulate radio medical advise and describe the DCI, Francis Smith and dive profile",
        "weight": "1",
        "sort_code": "1",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "23",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005093923_4ebe1862-9831-4588-9",
        "aspect_id": "ASP_20181005092003_400b493c-b80e-41b0-b",
        "description": "Positioning of patient",
        "weight": "1",
        "sort_code": "4",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "34",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005092003_6f566bae-4f43-490e-a",
        "aspect_id": "ASP_20181005092003_8bb19fa3-e614-46c7-9",
        "description": "Simulate radio medical advise and need for Chest drain insertion",
        "weight": "1",
        "sort_code": "1",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "36",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005100257_626eb700-4ab5-461f-9",
        "aspect_id": "ASP_20181005100257_c3abb188-e463-405d-b",
        "description": "Identifies patient status (level of Consciousness)",
        "weight": "1",
        "sort_code": "1",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "44",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005100257_a6842f6b-4c77-4b5f-9",
        "aspect_id": "ASP_20181005100257_09482185-2a1d-43ee-a",
        "description": "Simulate radio medical advise and describe the wound",
        "weight": "1",
        "sort_code": "1",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "52",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005102846_80cdba45-b428-4433-8",
        "aspect_id": "ASP_20181005102743_8ec21486-a652-4f6e-9",
        "description": "Ongoing assessment and monitoring until evacuation",
        "weight": "1",
        "sort_code": "1",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "55",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005103133_746b1221-43bc-45c1-9",
        "aspect_id": "ASP_20181005103133_47de2e00-6989-4ce4-8",
        "description": "Ongoing assessment and monitoring until evacuation",
        "weight": "1",
        "sort_code": "1",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "72",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005103133_b19493c3-5f2d-476c-b",
        "aspect_id": "ASP_20181005103133_c160cecc-b534-4eeb-9",
        "description": "Simulate radio medical advise",
        "weight": "1",
        "sort_code": "1",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "74",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005105041_81f8c4b9-995a-4168-a",
        "aspect_id": "ASP_20181005105041_0bdd9683-2c87-4528-9",
        "description": "Simulate radio medical advise and describe the SAMPLE and Pain assessment",
        "weight": "1",
        "sort_code": "1",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "80",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005105041_573b06e2-c862-4ced-9",
        "aspect_id": "ASP_20181005105041_11941bb7-0d7b-4eb3-a",
        "description": "Ongoing assessment and monitoring until evacuation",
        "weight": "1",
        "sort_code": "1",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "84",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005105041_20346489-a769-47ae-9",
        "aspect_id": "ASP_20181005105041_d7f60f5a-1018-4bf2-b",
        "description": "N.O.I Has index of suspicion of cardiac problem due to general appearance of patient",
        "weight": "1",
        "sort_code": "3",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "94",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005071734_ed51d5ba-5a66-4baa-8",
        "aspect_id": "ASP_20181005071734_8d9d8561-2292-49ab-b",
        "description": "Identifies patient status.",
        "weight": "1",
        "sort_code": "1",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "106",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005071734_a93dc33e-4555-44ee-8",
        "aspect_id": "ASP_20181005071734_dd23f538-40e6-4ecb-8",
        "description": "Simulate radio medical advise and describe the burn",
        "weight": "1",
        "sort_code": "1",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "108",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181008131530_aad8c9ba-8fc6-41d4-8",
        "aspect_id": "ASP_20181008131350_c430f295-3430-48f1-a",
        "description": "Does 10 point burn assessment",
        "weight": "1",
        "sort_code": "3",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "115",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181008132203_a13cc128-86d3-4caf-b",
        "aspect_id": "ASP_20181008131819_a57f74f8-090d-4de4-b",
        "description": "Mentions all 5, Pain assessments for RMA analgesia.",
        "weight": "1",
        "sort_code": "1",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "118",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005094807_02adfda6-195e-40fa-8",
        "aspect_id": "ASP_20181005094154_a62c80e5-df62-4bd0-a",
        "description": "Gets scoop, uses it correctly with head blocks to secure patient and transfer him to clinic",
        "weight": "1",
        "sort_code": "2",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "121",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005094154_762f6205-4872-4b09-b",
        "aspect_id": "ASP_20181005094154_e163a7a3-8c22-453d-9",
        "description": "Mentions doing Vitals, Pain assessment, SAMPLE and full Head to Toe exam and ongoing assessment",
        "weight": "1",
        "sort_code": "3",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "126",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005094154_dc81c365-9a67-488f-a",
        "aspect_id": "ASP_20181005094154_d3911824-cc3c-4ace-9",
        "description": "H.H.H.A.B.C: Immediately immobilizes C-Spine",
        "weight": "1",
        "sort_code": "1",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "127",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005094154_50266e6f-93d9-4612-b",
        "aspect_id": "ASP_20181005094154_e8474fe5-d8b2-4803-b",
        "description": "Simulate radio medical advise",
        "weight": "1",
        "sort_code": "1",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "130",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20180906183245_5d62cbd0-0589-4b39-9",
        "aspect_id": "ASP_20180906183245_7ea47210-9fc5-4094-b",
        "description": "Patient comfortable, clean and dry. Urine is draining into the bag. (30 - 40mls per hour is the normal flow)",
        "weight": "1",
        "sort_code": "1",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "154",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20180906183245_c95f5516-d5ed-4e57-a",
        "aspect_id": "ASP_20180906183245_7ea47210-9fc5-4094-b",
        "description": "Ask the patient to report any discomfort and observe closely for signs of distress.",
        "weight": "1",
        "sort_code": "2",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "155",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20180906183245_1ff795b0-859d-4fae-8",
        "aspect_id": "ASP_20180906183245_b0bd9fa6-06c4-4d4e-9",
        "description": "Ensure the urinary bag is CLOSED: Cover the patient and maintain dignity.",
        "weight": "1",
        "sort_code": "11",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "159",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20180906183245_95300c9b-6def-404e-a",
        "aspect_id": "ASP_20180906183245_b0bd9fa6-06c4-4d4e-9",
        "description": "If resistance is felt, gently increase the traction on the penis, apply steady pressure on the catheter and ask the patient to strain gently as if passing urine or to cough.",
        "weight": "1",
        "sort_code": "4",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "163",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      }
    ],
    "all": [
      {
        "type": "score_item",
        "id": "ITM_20181003095725_6e4b326f-c4ee-47e1-9",
        "aspect_id": "ASP_20181003092307_f64a9c63-e110-4674-b",
        "description": "Simulate radio medical advise and describe the wound",
        "weight": "1",
        "sort_code": "1",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "2",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181003091059_3ee3df81-aec6-4107-8",
        "aspect_id": "ASP_20181003090919_5174638c-9b79-4f36-a",
        "description": "Identifies patient status (level of Consciousness)",
        "weight": "1",
        "sort_code": "1",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "3",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005090826_53c632a0-aa17-4307-b",
        "aspect_id": "ASP_20181005090230_ae0d1170-c199-47e6-a",
        "description": "Pain assessment. Uses PQRSTA initially and ongoing to determine when DCI symptoms disappear",
        "weight": "1",
        "sort_code": "2",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "15",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005084355_267d90a8-b19c-4ff9-a",
        "aspect_id": "ASP_20181005084355_a2b1520d-f29b-4ab0-9",
        "description": "Simulate radio medical advise and describe the DCI, Francis Smith and dive profile",
        "weight": "1",
        "sort_code": "1",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "23",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005093923_4ebe1862-9831-4588-9",
        "aspect_id": "ASP_20181005092003_400b493c-b80e-41b0-b",
        "description": "Positioning of patient",
        "weight": "1",
        "sort_code": "4",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "34",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005092003_6f566bae-4f43-490e-a",
        "aspect_id": "ASP_20181005092003_8bb19fa3-e614-46c7-9",
        "description": "Simulate radio medical advise and need for Chest drain insertion",
        "weight": "1",
        "sort_code": "1",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "36",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005100257_626eb700-4ab5-461f-9",
        "aspect_id": "ASP_20181005100257_c3abb188-e463-405d-b",
        "description": "Identifies patient status (level of Consciousness)",
        "weight": "1",
        "sort_code": "1",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "44",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005100257_a6842f6b-4c77-4b5f-9",
        "aspect_id": "ASP_20181005100257_09482185-2a1d-43ee-a",
        "description": "Simulate radio medical advise and describe the wound",
        "weight": "1",
        "sort_code": "1",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "52",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005102846_80cdba45-b428-4433-8",
        "aspect_id": "ASP_20181005102743_8ec21486-a652-4f6e-9",
        "description": "Ongoing assessment and monitoring until evacuation",
        "weight": "1",
        "sort_code": "1",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "55",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005103133_746b1221-43bc-45c1-9",
        "aspect_id": "ASP_20181005103133_47de2e00-6989-4ce4-8",
        "description": "Ongoing assessment and monitoring until evacuation",
        "weight": "1",
        "sort_code": "1",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "72",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005103133_b19493c3-5f2d-476c-b",
        "aspect_id": "ASP_20181005103133_c160cecc-b534-4eeb-9",
        "description": "Simulate radio medical advise",
        "weight": "1",
        "sort_code": "1",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "74",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005105041_81f8c4b9-995a-4168-a",
        "aspect_id": "ASP_20181005105041_0bdd9683-2c87-4528-9",
        "description": "Simulate radio medical advise and describe the SAMPLE and Pain assessment",
        "weight": "1",
        "sort_code": "1",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "80",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005105041_573b06e2-c862-4ced-9",
        "aspect_id": "ASP_20181005105041_11941bb7-0d7b-4eb3-a",
        "description": "Ongoing assessment and monitoring until evacuation",
        "weight": "1",
        "sort_code": "1",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "84",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005105041_20346489-a769-47ae-9",
        "aspect_id": "ASP_20181005105041_d7f60f5a-1018-4bf2-b",
        "description": "N.O.I Has index of suspicion of cardiac problem due to general appearance of patient",
        "weight": "1",
        "sort_code": "3",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "94",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005071734_ed51d5ba-5a66-4baa-8",
        "aspect_id": "ASP_20181005071734_8d9d8561-2292-49ab-b",
        "description": "Identifies patient status.",
        "weight": "1",
        "sort_code": "1",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "106",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005071734_a93dc33e-4555-44ee-8",
        "aspect_id": "ASP_20181005071734_dd23f538-40e6-4ecb-8",
        "description": "Simulate radio medical advise and describe the burn",
        "weight": "1",
        "sort_code": "1",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "108",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181008131530_aad8c9ba-8fc6-41d4-8",
        "aspect_id": "ASP_20181008131350_c430f295-3430-48f1-a",
        "description": "Does 10 point burn assessment",
        "weight": "1",
        "sort_code": "3",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "115",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181008132203_a13cc128-86d3-4caf-b",
        "aspect_id": "ASP_20181008131819_a57f74f8-090d-4de4-b",
        "description": "Mentions all 5, Pain assessments for RMA analgesia.",
        "weight": "1",
        "sort_code": "1",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "118",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005094807_02adfda6-195e-40fa-8",
        "aspect_id": "ASP_20181005094154_a62c80e5-df62-4bd0-a",
        "description": "Gets scoop, uses it correctly with head blocks to secure patient and transfer him to clinic",
        "weight": "1",
        "sort_code": "2",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "121",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005094154_762f6205-4872-4b09-b",
        "aspect_id": "ASP_20181005094154_e163a7a3-8c22-453d-9",
        "description": "Mentions doing Vitals, Pain assessment, SAMPLE and full Head to Toe exam and ongoing assessment",
        "weight": "1",
        "sort_code": "3",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "126",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005094154_dc81c365-9a67-488f-a",
        "aspect_id": "ASP_20181005094154_d3911824-cc3c-4ace-9",
        "description": "H.H.H.A.B.C: Immediately immobilizes C-Spine",
        "weight": "1",
        "sort_code": "1",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "127",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20181005094154_50266e6f-93d9-4612-b",
        "aspect_id": "ASP_20181005094154_e8474fe5-d8b2-4803-b",
        "description": "Simulate radio medical advise",
        "weight": "1",
        "sort_code": "1",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "130",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20180906183245_5d62cbd0-0589-4b39-9",
        "aspect_id": "ASP_20180906183245_7ea47210-9fc5-4094-b",
        "description": "Patient comfortable, clean and dry. Urine is draining into the bag. (30 - 40mls per hour is the normal flow)",
        "weight": "1",
        "sort_code": "1",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "154",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20180906183245_c95f5516-d5ed-4e57-a",
        "aspect_id": "ASP_20180906183245_7ea47210-9fc5-4094-b",
        "description": "Ask the patient to report any discomfort and observe closely for signs of distress.",
        "weight": "1",
        "sort_code": "2",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "155",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20180906183245_1ff795b0-859d-4fae-8",
        "aspect_id": "ASP_20180906183245_b0bd9fa6-06c4-4d4e-9",
        "description": "Ensure the urinary bag is CLOSED: Cover the patient and maintain dignity.",
        "weight": "1",
        "sort_code": "11",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "159",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      },
      {
        "type": "score_item",
        "id": "ITM_20180906183245_95300c9b-6def-404e-a",
        "aspect_id": "ASP_20180906183245_b0bd9fa6-06c4-4d4e-9",
        "description": "If resistance is felt, gently increase the traction on the penis, apply steady pressure on the catheter and ask the patient to strain gently as if passing urine or to cough.",
        "weight": "1",
        "sort_code": "4",
        "item_type": "1",
        "active": true,
        "required_minimum_score": "NULL",
        "metadata": {
          "element_tag": "t_ScoreItem",
          "attributes": {
            "RowNumber": "163",
            "String": "INSERT INTO [t_ScoreItem] ([ID_ScoreItem], [ID_Aspect], [Omschrijving], [Weging], [Sortcode], [Type], [Actief], [RequiredMinimumScore])"
          }
        }
      }
    ]
  },
  "summary": {
    "title": "Practical Skills Assessment - Management of C-Spine injury",
    "code": "DMT C-Spine",
    "type": "wpa",
    "norm": "7.5",
    "active": false,
    "total_criteria": 26,
    "assessment_areas": 0,
    "instruction_preview": "YOU CAN NOT PROCEED WITHOUT A QUALIFIED ASSESSOR LOGGING IN. Please ensure you have completed the study unit on wound assessment in order to show proficiency. Good Luck ! BRIEF: The assessor will give..."
  }
}