ATLS Instructor Evaluation Form

Skill Station A – Airway 1

Skill Performance Airway

FailIncompleteSatisfactoryInstructor Potential
Result
Fail
Incomplete
Satisfactory
Instructor Potential
FailIncompleteSatisfactoryInstructor Potential
Result
Fail
Incomplete
Satisfactory
Instructor Potential
FailIncompleteSatisfactoryInstructor Potential
Result
Fail
Incomplete
Satisfactory
Instructor Potential
FailIncompleteSatisfactoryInstructor Potential
Result
Fail
Incomplete
Satisfactory
Instructor Potential
FailIncompleteSatisfactoryInstructor Potential
Result
Fail
Incomplete
Satisfactory
Instructor Potential
FailIncompleteSatisfactoryInstructor Potential
Result
Fail
Incomplete
Satisfactory
Instructor Potential
FailIncompleteSatisfactoryInstructor Potential
Result
Fail
Incomplete
Satisfactory
Instructor Potential
FailIncompleteSatisfactoryInstructor Potential
Result
Fail
Incomplete
Satisfactory
Instructor Potential
FailIncompleteSatisfactoryInstructor Potential
Result
Fail
Incomplete
Satisfactory
Instructor Potential
FailIncompleteSatisfactoryInstructor Potential
Result
Fail
Incomplete
Satisfactory
Instructor Potential
FailIncompleteSatisfactoryInstructor Potential
Result
Fail
Incomplete
Satisfactory
Instructor Potential
FailIncompleteSatisfactoryInstructor Potential
Result
Fail
Incomplete
Satisfactory
Instructor Potential

Skill Performance: Pediatric Airway and Surgical and Needle Cricothyrotomy.

FailIncompleteSatisfactoryInstructor Potential
Result
Fail
Incomplete
Satisfactory
Instructor Potential
FailIncompleteSatisfactoryInstructor Potential
Result
Fail
Incomplete
Satisfactory
Instructor Potential
FailIncompleteSatisfactoryInstructor Potential
Result
Fail
Incomplete
Satisfactory
Instructor Potential
FailIncompleteSatisfactoryInstructor Potential
Result
Fail
Incomplete
Satisfactory
Instructor Potential
FailIncompleteSatisfactoryInstructor Potential
Result
Fail
Incomplete
Satisfactory
Instructor Potential
FailIncompleteSatisfactoryInstructor Potential
Result
Fail
Incomplete
Satisfactory
Instructor Potential
FailIncompleteSatisfactoryInstructor Potential
Result
Fail
Incomplete
Satisfactory
Instructor Potential