Takes or verbalizes appropriate PPE precautions Inserts adjunct (nasopharyngeal airway) Assists patient ventilations 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 Lubricates the channel Preloads the ET tube 7.0 mm Preloads tube introducer into the ET tube Suctions prior to attempting intubation Removes adjunct airway Inserts King Vision airway using midline entry approach Places tip of blade into the vallecular space Advances tube introducer into the trachea Advances ET tube into trachea black line at the vocal cords Removes tube introducer Removes ET tube from the channel Removes King Vision blade from patient's mouth 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 Verifies proper tube placement by secondary 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 Tube and/or tube introducer extends past end of channel Lifts the mandible with the King Vision