CPR Skills Check-Off with Peer Checklist

In groups of 4, each student performs a full hands-only CPR sequence on a manikin while a classmate scores it with a checklist. The focus is on quality: rate, depth, and minimal interruptions.

How to play

1. Review (4 min): scene safety, check response, shout for help and an AED, call 911, open the airway, check breathing, and compress the center of the chest with straight arms at 100-120 per minute, about 2 inches deep.
2. Groups of 4 per manikin with four roles: rescuer, evaluator, rhythm counter, and bystander who calls 911 when asked.
3. The rescuer runs the full sequence and 2 minutes of compressions. The evaluator marks each of eight checklist items as done, partly done, or missed.
4. Afterward, the evaluator gives feedback using 'two stars and a wish': two strengths and one specific fix.
5. Rotate roles every 4 minutes until all four have been rescuer (16 min).
6. Second try (5 min): each student repeats 1 minute focusing only on their wish.

Rules

• Never practice compressions on a classmate; only on the manikin.
• Kneel on a mat to protect your knees.
• Evaluators judge the technique, not the person, and always respectfully.

Variations

Adaptations

• Limited mobility: serve as evaluator and bystander, or compress with the manikin on a table.
• Hearing impairment: the counter taps the rhythm on the shoulder or uses a light.
• Less strength: work in 1-minute sets and use body weight rather than arm strength.

Learning goals

• Perform high-quality CPR with the correct rate and depth.
• Assess a classmate's technique with a checklist.
• Improve based on specific feedback.

Equipment for a class of 25

• CPR manikins: 6
• observation checklists: 25
• mats: 6

Teacher tip

If you are short on manikins, use firm foam balls on a mat. Circulate and correct bent elbows and hands lifting off the chest.

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