ATLS Instructor Evaluation Form Please enable JavaScript in your browser to complete this form.Skill Station A – Airway 1Ονοματεπώνυμο *Skill Performance AirwayAssess airway patency in a simulated trauma patient. * FailIncompleteSatisfactoryInstructor Potential ResultFailResult FailIncompleteResult IncompleteSatisfactoryResult SatisfactoryInstructor PotentialResult Instructor Potential Apply a non-rebreathing mask to maximize oxygenation. * FailIncompleteSatisfactoryInstructor Potential ResultFailResult FailIncompleteResult IncompleteSatisfactoryResult SatisfactoryInstructor PotentialResult Instructor Potential Apply a pulse oximeter * FailIncompleteSatisfactoryInstructor Potential ResultFailResult FailIncompleteResult IncompleteSatisfactoryResult SatisfactoryInstructor PotentialResult Instructor Potential Perform a jaw-thrust on an airway manikin to provide (or ensure) an adequate airway. * FailIncompleteSatisfactoryInstructor Potential ResultFailResult FailIncompleteResult IncompleteSatisfactoryResult SatisfactoryInstructor PotentialResult Instructor Potential Demonstrate airway suctioning on a simulated airway manikin. * FailIncompleteSatisfactoryInstructor Potential ResultFailResult FailIncompleteResult IncompleteSatisfactoryResult SatisfactoryInstructor PotentialResult Instructor Potential Insert a nasopharyngeal airway (NPA) and oropharyngeal airway (OPA) on a manikin. * FailIncompleteSatisfactoryInstructor Potential ResultFailResult FailIncompleteResult IncompleteSatisfactoryResult SatisfactoryInstructor PotentialResult Instructor Potential Perform one-person and two-person bag mask ventilation on a manikin. * FailIncompleteSatisfactoryInstructor Potential ResultFailResult FailIncompleteResult IncompleteSatisfactoryResult SatisfactoryInstructor PotentialResult Instructor Potential Insert a supraglottic or extraglottic device on a manikin. * FailIncompleteSatisfactoryInstructor Potential ResultFailResult FailIncompleteResult IncompleteSatisfactoryResult SatisfactoryInstructor PotentialResult Instructor Potential State the indications for a definitive airway. * FailIncompleteSatisfactoryInstructor Potential ResultFailResult FailIncompleteResult IncompleteSatisfactoryResult SatisfactoryInstructor PotentialResult Instructor Potential Attempt oral endotracheal intubation on a manikin. * FailIncompleteSatisfactoryInstructor Potential ResultFailResult FailIncompleteResult IncompleteSatisfactoryResult SatisfactoryInstructor PotentialResult Instructor Potential Demonstrates / instructs others in skill * FailIncompleteSatisfactoryInstructor Potential ResultFailResult FailIncompleteResult IncompleteSatisfactoryResult SatisfactoryInstructor PotentialResult Instructor Potential Overall: knowledge, skills, attitude for this skill. * FailIncompleteSatisfactoryInstructor Potential ResultFailResult FailIncompleteResult IncompleteSatisfactoryResult SatisfactoryInstructor PotentialResult Instructor Potential Skill Performance: Pediatric Airway and Surgical and Needle Cricothyrotomy.Demonstrate basic pediatric airway management on a simulator. * FailIncompleteSatisfactoryInstructor Potential ResultFailResult FailIncompleteResult IncompleteSatisfactoryResult SatisfactoryInstructor PotentialResult Instructor Potential Attempt infant endotracheal intubation. * FailIncompleteSatisfactoryInstructor Potential ResultFailResult FailIncompleteResult IncompleteSatisfactoryResult SatisfactoryInstructor PotentialResult Instructor Potential Identify anatomic landmarks for cricothyrotomy. * FailIncompleteSatisfactoryInstructor Potential ResultFailResult FailIncompleteResult IncompleteSatisfactoryResult SatisfactoryInstructor PotentialResult Instructor Potential Perform a surgical cricothyrotomy on a model. * FailIncompleteSatisfactoryInstructor Potential ResultFailResult FailIncompleteResult IncompleteSatisfactoryResult SatisfactoryInstructor PotentialResult Instructor Potential Perform a needle cricothyrotomy on a model. * FailIncompleteSatisfactoryInstructor Potential ResultFailResult FailIncompleteResult IncompleteSatisfactoryResult SatisfactoryInstructor PotentialResult Instructor Potential Demonstrates / instructs others in skill * FailIncompleteSatisfactoryInstructor Potential ResultFailResult FailIncompleteResult IncompleteSatisfactoryResult SatisfactoryInstructor PotentialResult Instructor Potential Overall: knowledge, skills, attitude for this skill * FailIncompleteSatisfactoryInstructor Potential ResultFailResult FailIncompleteResult IncompleteSatisfactoryResult SatisfactoryInstructor PotentialResult Instructor Potential CommentsΥποβολή