This work addresses the temporal ordering task of clinical frames in the Basic Life Support (BLS) subset of ClinSkillQA. A two-stage hybrid pipeline based on Qwen2-VL-2B-Instruct in a zero-shot configuration is proposed. In Stage 1, each image is processed independently to extract factual visual evidence, which is then transformed, using deterministic rules, into a structured representation. In Stage 2, ordering is formulated as an ordinal scoring task over procedural stages, with ties broken using PCA applied to multimodal embeddings. Evaluation followed the official benchmark protocol, considering Task Accuracy, Pairwise Accuracy, and BERTScore. In the test phase, the system achieved Task Accuracy = 0.17, Pairwise Micro Accuracy = 0.60, and BERT F1 = 0.71, with complete coverage in both predictions and rationales. The results demonstrate an interpretable and reproducible foundation, although challenges in fine-grained temporal discrimination remain.