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Lists critical failure criteria and documentation requirements for checking critical items.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":20,"@type":76,"position":81},"https://docshare.wps.com/document/exam/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/national-registry-of-emergency-medical-technicians-advanced-level-psychomotor-examination-pediatric-2-yrs-ventilatory-management/375034/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/national-registry-of-emergency-medical-technicians-advanced-level-psychomotor-examination-pediatric-2-yrs-ventilatory-management/375034.png","ImageObject",300,407,{"name":92,"@type":93},"nayy☆","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-04","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What is the time limit for initiating ventilation after applying gloves?","Question",{"text":113,"@type":114},"Ventilations must be initiated within 30 seconds after applying gloves, and ventilations must not be interrupted for more than 30 seconds at any time.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How should ventilation be delivered for pediatric patients under 2 years old?",{"text":118,"@type":114},"Ventilate immediately with a bag-valve-mask device unattached to oxygen, then ventilate with room air, later attach the oxygen reservoir and connect to an oxygen regulator (12–15 L/min). Ventilate at 12–20 per minute (one ventilation every 3–5 seconds) with visible chest rise.",{"name":120,"@type":111,"acceptedAnswer":121},"How is proper endotracheal tube placement confirmed?",{"text":122,"@type":114},"Confirm placement by auscultation bilaterally over each lung and over the epigastrium, and follow the examiner’s prompt about what to expect if placement is correct.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},375034,1790851514,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":19,"category_name":20,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":81,"preview_page_count":4},962090893153,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","National Registry of Emergency Medical Technicians Advanced Level Psychomotor Examination  \nPEDIATRIC (\u003C2 yrs.) VENTILATORY MANAGEMENT  \nCandidate:  Examiner:   Date:  Signature:    \nNOTE If candidate elects to ventilate initially 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.  \nPossible Points  \nActual Time Started:   Points Awarded  \n\n| Takes or verbalizes appropriate PPE precautions |  | 1 |  |\n| --- | --- | --- | --- |\n| Opens the airway manually |  | 1 |  |\n| Elevates tongue, inserts simple adjunct [oropharyngeal or nasopharyngeal airway] |  | 1 |  |\n| NOTE: Examiner now informs candidate no gag reflex is present and patient accepts adjunct |  |  |  |\n| **Ventilates patient immediately with bag-valve-mask device unattached to oxygen |  | 1 |  |\n| **Ventilates patient with room air |  | 1 |  |\n| 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% |  |  |  |\n| Attaches oxygen reservoir to bag-valve-mask device and connects to oxygen regulator [12 – 15 L/minute] |  | 1 |  |\n| Ventilates patient at a rate of 12 – 20/minute (1 ventilation every 3 – 5 seconds) and ensures visible chest rise |  | 1 |  |\n| NOTE: After 30 seconds, examiner auscultates and reports breath sounds are present, equal bilaterally and medical direction has ordered intubation. The examiner must now take over ventilation. |  |  |  |\n| Identifies/selects proper equipment for intubation |  | 1 |  |\n| Checks laryngoscope to ensure operational with bulb tight |  | 1 |  |\n| NOTE: Examiner to remove OPA and move out of the way when candidate is prepared to intubate |  |  |  |\n| Places patient in neutral or sniffing position |  | 1 |  |\n| Inserts blade while displacing tongue |  | 1 |  |\n| Elevates mandible with laryngoscope |  | 1 |  |\n| Introduces ET tube and advances to proper depth |  | 1 |  |\n| Directs ventilation of patient |  | 1 |  |\n| Confirms proper placement by auscultation bilaterally over each lung and over the epigastrium |  | 1 |  |\n| NOTE: Examiner to ask, “If you had proper placement, what should you expect to hear?” |  |  |  |\n| Secures ET tube [may be verbalized] |  | 1 |  |\n| Actual Time Ended:   | TOTAL | 16 |  |\n\nCRITICAL CRITERIA  \n  Failure to initiate ventilations within 30 seconds after applying gloves or interrupts ventilations for  \ngreater than 30 seconds at any time  \n  Failure to take or verbalize appropriate PPE precautions  \n  Failure to pad under the torso to allow neutral head position or sniffing position   Failure to voice and ultimately provide high oxygen concentrations [at least 85%]   Failure to ventilate patient at a rate of 12 – 20/minute (1 ventilation every 3 – 5 seconds)   Failure to provide adequate volumes per breath [maximum 2 errors/minute permissible]   Failure to pre-oxygenate patient prior to intubation  \n  Failure to successfully intubate within 3 attempts   Uses gums as a fulcrum  \n  Failure to assure proper tube placement by auscultation bilaterally over each lung and over the epigastrium  \n  Inserts any adjunct in a manner dangerous to the patient   Attempts to use any equipment not appropriate for the pediatric patient   Failure to manage the patient as a competent EMT  \n  Exhibits unacceptable affect with patient or other personnel   Uses or orders a dangerous or inappropriate intervention  \nYou must factually document your rationale for checking any of the above critical items on the reverse side of this form.  \n© 2016 National Registry of Emergency Medical Technicians, Inc., Columbus, OH  \nAll materials subject to this copyright may be photocopied for the non-commercial purpose of educational or scientific advancement. p305/09-16","cbCaikaI0uSs962r","https://ap.wps.com/l/cbCaikaI0uSs962r","pdf",586904,"English","# Pediatric (\u003C2 yrs.) Ventilatory Management\n## Candidate Steps and Possible Points\n## Critical Criteria","[{\"question\":\"What is the time limit for initiating ventilation after applying gloves?\",\"answer\":\"Ventilations must be initiated within 30 seconds after applying gloves, and ventilations must not be interrupted for more than 30 seconds at any time.\"},{\"question\":\"How should ventilation be delivered for pediatric patients under 2 years old?\",\"answer\":\"Ventilate immediately with a bag-valve-mask device unattached to oxygen, then ventilate with room air, later attach the oxygen reservoir and connect to an oxygen regulator (12–15 L/min). Ventilate at 12–20 per minute (one ventilation every 3–5 seconds) with visible chest rise.\"},{\"question\":\"How is proper endotracheal tube placement confirmed?\",\"answer\":\"Confirm placement by auscultation bilaterally over each lung and over the epigastrium, and follow the examiner’s prompt about what to expect if placement is correct.\"}]","National Registry of Emergency Medical Technicians Advanced Level Psychomotor Examination - Pediatric (\u003C2 yrs.) Ventilatory Management | PDF",1790203320]