Takes or verbalizes appropriate PPE precautions Inserts adjunct (nasopharyngeal airway) Ventilates at a rate of 10 - 12/minute and sufficient volume to make chest rise Attaches pulse oximeter and notes SpO2 Preoxygenates patient using BVM and NODESAT method Auscultates breath sounds

Gathers and checks equipment Removes oral adjunct airway (if in place) Positions head properly (sniffing) Performs a tongue-jaw lift Aligns blue orientation line with corner of the mouth Advances tube, rotates back to midline Inserts device until base of connector aligns with teeth Inflates cuff with proper volume and immediately removes syringe Ventilates patient and confirms proper ventilation [correct lumen and proper insertion depth] by auscultation bilaterally over lungs and over epigastrium Comfirm correct placement via ETCO Withdraws tube while bagging until ventilation is easy and free flowing Secure device

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

Interrupts ventilations at any time when SpO2 is less than 90% Failure to take or verbalize appropriate PPE precautions If used, suctions the patient for more than 10 seconds Failure to preoxygenate patient prior to intubation Failure to disconnect syringe immediately after inflating cuff of either tubes Failure to properly inflate either cuff Failure to assure proper tube placement by auscultation bilaterally and over the epigastrium Failure to voice and ultimately provide high oxygen concentration [at least 85%] Failure to ventilate the patient at a rate of at least 10/minute and no more than 12/minute Failure to provide adequate volumes per breath [maximum 2 errors/minute permissible] Insertion or use of any adjunct in a manner dangerous to the patient Failure to demonstrate the ability to manage the patient as a minimally competent EMT Exhibits unacceptable affect with patient or other personnel Uses or orders a dangerous or inappropriate intervention