Takes or verbalizes appropriate PPE precautions Assures adequate blood pressure Positions patient in a position that will optimize ease of ventilation (high Fowler’s) Assesses patient to identify indications for CPAP Assesses patient to identify contraindications for CPAP

Assembles mask and tubing according to manufacturer instructions Coaches patient how to breathe through mask Connects CPAP unit to suitable O2 supply and attaches breathing circuit to device (not using oxygen regulator or flow meter) Turns on power/oxygen Connect inline nebulizer

Places mask over mouth and nose (leaves EtCO2 nasal cannula in place) Adjust CPAP pressure based on local protocols (Max 5-10 cm H2O) Coaches patient to breathe normally and adjust to air pressure Frequently reassesses patient for: Decreased ventilatory distress,SpO2 > 92%,Decreased adventitious lungs sounds,Absence of complications (barotrauma and pneumothorax) Records settings/readings and documents appropriately

Accepts evaluation and criticism professionally Shows willingness to learn Interacts with simulated patient and other personnel in professional manner

Failure to take or verbalize appropriate PPE precautions Failure to identify 2 indications Failure to identify 2 potential complications Failure to frequently reassess the patient after application of the CPAP device Failure to ensure that the patient understands the procedure Failure to set the proper parameters for the device (pressure relief, tidal volume, oxygen concentration, rate, etc.) Failure to test the pressure relief valve prior to application Exhibits unacceptable affect with patient or other personnel