National Registry of Emergency Medical Technicians Advanced Level Psychomotor Examination - Alternative Airway Device (Supraglottic Airway)

Sep 23, 2026

Uploaded by Ophelia

Advanced-level EMT psychomotor examination scoring sheets for two emergency scenarios. The alternative airway device section evaluates airway opening, adjunct placement, immediate ventilation with bag-valve-mask, oxygen delivery setup, ventilation rate and volume, and correct supraglottic device insertion, securing, and confirmation via auscultation and secondary placement verification. It also lists critical failure criteria, including delayed ventilation, inadequate oxygen concentration, incorrect depth/location, improper cuff inflation, failure to secure devices, and dangerous adjunct use. A second section addresses cardiac arrest management and AED operation with CPR quality and safe, correct AED use.

LanguageEnglish

CategoryExam

FormatPDF

Pages12

Reading Time30 min

AccessFree to download

Advanced Level Psychomotor Examination

Alternative Airway Device (Supraglottic Airway)

Cardiac Arrest Management / AED

National Registry of Emergency Medical Technicians Advanced Level Psychomotor Examination ALTERNATIVE AIRWAY DEVICE (SUPRAGLOTTIC AIRWAY) Candidate: Examiner: Date: Signature: Device: NOTE: If candidate elects to initially ventilate with BVM attached to reservoir and oxygen, full credit must be awarded for steps denoted by“**” so long as first ventilation is delivered within 30 seconds. Actual Time Started: Possible Points Points Awarded | Takes or verbalizes body substance isolation precautions | | 1 | | | --- | --- | --- | --- | | Opens the airway manually | | 1 | | | Elevates tongue, inserts simple adjunct [oropharyngeal or nasopharyngeal airway] | | 1 | | | NOTE: Examiner now informs candidate no gag reflex is present and patient accepts adjunct | | | | | **Ventilates patient immediately with bag-valve-mask device unattached to oxygen | | 1 | | | **Ventilates patient with room air | | 1 | | | NOTE: Examiner now informs candidate that ventilation is being performed without difficulty and that pulse oximetry indicates the patient’s blood oxygen saturation is 85% | | | | | Attaches oxygen reservoir to bag-valve-mask device and connects to high-flow oxygen regulator [12 – 15 L/minute] | | 1 | | | Ventilates patient at a rate of 10 – 12/minute with appropriate volumes | | 1 | | | NOTE: After 30 seconds, examiner auscultates and reports breath sounds are present and equal bilaterally and medical direction has ordered insertion of a supraglottic airway. The examiner must now take over ventilation. | | | | | Directs assistant to pre-oxygenate patient | | 1 | | | Checks/prepares supraglottic airway device | | 1 | | | Lubricates distal tip of the device [may be verbalized] | | 1 | | | NOTE: Examiner to remove OPA and move out of the way when candidate is prepared to insert device. | | | | | Positions head properly | | 1 | | | Performs a tongue-jaw lift | | 1 | | | Inserts device to proper depth | | 1 | | | Secures device in patient [inflates cuffs with proper volumes and immediately removes syringe or secures strap] | | 1 | | | Ventilates patient and confirms proper ventilation [correct lumen and proper insertion depth] by auscultation bilaterally over lungs and over epigastrium | | 1 | | | Adjusts ventilation as necessary [ventilates through additional lumen or slightly withdraws tube until ventilation is optimized] | | 1 | | | Verifies proper tube placement by secondary confirmation such as capnography, capnometry, EDD or colorimetric device | | 1 | | | NOTE: The examiner must now ask the candidate,“How would you know if you are delivering appropriate volumes with each ventilation?” | | | | | Secures device or confirms that the device remains properly secured | | 1 | | | Ventilates patient at proper rate and volume while observing capnography/capnometry and pulse oximeter | | 1 | | | Actual Time Ended: | TOTAL | 19 | | Critical Criteria Failure to initiate ventilations within 30 seconds after taking body substance isolation precautions or interrupts ventilations for greater than 30 seconds at any time Failure to take or verbalize body substance isolation precautions Failure to voice and ultimately provide high oxygen concentration [at least 85%] Failure to ventilate the patient at a rate of 10 – 12/minute Failure to provide adequate volumes per breath [maximum 2 errors/minute permissible] Failure to pre-oxygenate patient prior to insertion of the supraglottic airway device Failure to insert the supraglottic airway device at a proper depth or location within 3 attempts Failure to inflate cuffs properly and immediately remove the syringe Failure to secure the strap (if present) prior to cuff inflation Failure to confirm that patient is being ventilated properly (correct lumen and proper insertion depth) by auscultation bilaterally over lungs andover epigastrium Insertion or use of any adjunct in a manner danger

FAQs

What must the candidate do within 30 seconds during the supraglottic airway task?

After taking body substance isolation precautions, the candidate must initiate ventilations within 30 seconds. If ventilation is interrupted for more than 30 seconds, it fails the critical criteria.

How is correct supraglottic airway placement verified?

The candidate confirms proper ventilation by bilateral auscultation over the lungs and epigastrium, and verifies placement using secondary confirmation such as capnography, capnometry, EDD, or a colorimetric device.

What are the key requirements for cardiac arrest CPR and AED use?

CPR must have adequate depth and rate with minimal interruptions, correct compression-to-ventilation ratio, proper recoil, and adequate breath volumes. For AED, the candidate turns on the device, follows prompts, and correctly attaches the AED pads to the patient before continuing care.

Sep 23, 2026

Uploaded by Ophelia