Adult ETI
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Minutes
Evaluator
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Student
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Skill Steps
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Verbalizes/demonstrates appropriate infection control precautions
Opens airway
Inserts airway adjunct
Ventilates and oxygenates patient (ventilation rate 10-12 times per minute)
Gathers and checks equipment
Positions patient (ear-to-sternal-notch)
Intubates the trachea
Inflates cuff, removes stylet and syringe
Confirms tube placement (must auscultate and use capnography)
Ventilates 8-10 times per minute
Critical Criteria
Failure to initiate ventilations in a timely manner
Failure to ventilate at the appropriate rate
Failure to successfully intubate the trachea
Failure to disconnect cuff syringe immediately after inflating cuff
Uses teeth as fulcrum
Failure to confirm tube placement
Exhibits unacceptable affect with patient or other personnel
Uses or orders a dangerous or inappropriate intervention
Evaluator Comments
Success?
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Pass
Needs Remediation
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