Infant CPR
Skills Testing Checklist (1 of 2)
Student Name __________________________________________________ Date of Test _______________________________
Hospital Scenario: “You are working in a hospital or clinic when a woman runs through the door, carrying an infant. She
shouts, ‘Help me! My baby’s not breathing.’ You have gloves and a pocket mask. You send your coworker to activate the
emergency response system and to get the emergency equipment.”
Prehospital Scenario: “You arrive on the scene for an infant who is not breathing. 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 ☐ Checks breathing
☐ Checks pulse
Once student shouts for help, instructor says, “Here’s the barrier device.”
Cycle 1 of CPR (30:2) *CPR feedback devices preferred for accuracy
Infant Compressions Infant Breaths
☐ Performs high-quality compressions*: ☐ Gives 2 breaths with a barrier device:
• Placement of 2 fingers in the center of the chest, • Each breath given over 1 second
just below the nipple line • Visible chest rise with each breath
• 30 compressions in no less than 15 and no more • Resumes compressions in less than
than 18 seconds 10 seconds
• Compresses at least one third the depth of the
chest, about 1½ inches (4 cm)
• 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 arrives with bag-mask device and begins ventilation while Rescuer 1 continues compressions with 2 thumb–encircling
hands technique.
Cycle 3 of CPR
Rescuer 1: Infant Compressions Rescuer 2: Infant Breaths
☐ Performs high-quality compressions*: This rescuer is not evaluated.
• 15 compressions with 2 thumb–encircling hands
technique
• 15 compressions in no less than 7 and no more
than 9 seconds
• Compresses at least one third the depth of the
chest, about 1½ inches (4 cm)
• Complete recoil after each compression
(continued)
© 2016 American Heart Association
Infant CPR
Skills Testing Checklist (2 of 2)
Student Name __________________________________________________ Date of Test _______________________________
Cycle 4 of CPR
Rescuer 2: Infant Compressions Rescuer 1: Infant Breaths
This rescuer is not evaluated. ☐ Gives 2 breaths with a bag-mask device:
• Each breath given over 1 second
• Visible chest rise with each breath
• Resumes compressions in less than
10 seconds
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
