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Covers PPE precautions, manual airway opening, adjunct placement, and immediate ventilation using a bag-valve-mask, first without oxygen then with room air and later with an oxygen reservoir and regulator. Specifies ventilation rate (10–12/min) with adequate volumes, subsequent intubation steps, cuff inflation, bilateral auscultation confirmation, and additional verification methods using end-tidal CO2 and other devices. Includes suction catheter preparation, insertion, and flushing, plus critical failure criteria tied to timing, oxygen concentration, technique, tube placement, and safe practice.",{"@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/p303_nremt-ventilatory-management-adult-advanced-level-psychomotor-examination/375031/",{"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/p303_nremt-ventilatory-management-adult-advanced-level-psychomotor-examination/375031.png","ImageObject",300,407,{"name":92,"@type":93},"awa","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-29","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 requirement for initiating ventilations in this exam?","Question",{"text":113,"@type":114},"Ventilations must be initiated within 30 seconds after applying gloves, and ventilations cannot be interrupted for greater than 30 seconds at any time.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What ventilation oxygen concentration and rate are required?",{"text":118,"@type":114},"High oxygen concentrations of at least 85% must be voiced and ultimately provided, and ventilation must be delivered at 10–12 per minute (one ventilation every 5–6 seconds).",{"name":120,"@type":111,"acceptedAnswer":121},"How is correct endotracheal tube placement verified?",{"text":122,"@type":114},"Placement must be confirmed by auscultation bilaterally over each lung and over the epigastrium, and the candidate must demonstrate an additional method such as checking end-tidal CO2 or using a colorimetric device.","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},375031,1790808424,{"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},3985747858093,"https://ap-avatar.wpscdn.com/davatar_3d24733baf745e90a7e4bdd5f77d97b2","National Registry of Emergency Medical Technicians Advanced Level Psychomotor Examination  \nVENTILATORY MANAGEMENT -ADULT  \nCandidate:   Examiner:  Date:  Signature:   \nNOTE: If candidate elects to ventilate initially with BVM attached to reservoir and oxygen, full credit must be awarded for  \nsteps 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 10 – 12/minute (1 ventilation every 5 – 6 seconds) with appropriate volumes |  | 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 equipment for: -Cuff leaks (1 point) -Laryngoscope operational with bulb tight (1 point) |  | 2 |  |\n| NOTE: Examiner to remove OPA and move out of the way when candidate is prepared to intubate |  |  |  |\n| Positions head properly |  | 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| Inflates cuff to proper pressure and disconnects syringe |  | 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| NOTE: Examiner now asks candidate,“Please demonstrate one additional method of verifying proper tube placement in this patient.” |  |  |  |\n| Identifies/selects proper equipment |  | 1 |  |\n| Verbalizes findings and interpretations [checks end-tidal CO2 , colorimetric device, EDD recoil, etc.] |  | 1 |  |\n| NOTE:Examiner now states,“You see secretions in the tube and hear gurgling sounds with the patient’s exhalation.” |  |  |  |\n| Identifies/selects a flexible suction catheter |  | 1 |  |\n| Pre-oxygenates patient |  | 1 |  |\n| Marks maximum insertion length with thumb and forefinger |  | 1 |  |\n| Inserts catheter into the ET tube leaving catheter port open |  | 1 |  |\n| At proper insertion depth, covers catheter port and applies suction while withdrawing catheter |  | 1 |  |\n| Ventilates/directs ventilation of patient as catheter is flushed with sterile water |  | 1 |  |\n| Actual Time Ended:   TOTAL 26 |  |  |  |\n\nCRITICAL CRITERIA  \n  Failure to initiate ventilations within 30 seconds after applying gloves or interrupts ventilations for greater than 30 seconds at any time   Failure to take or verbalize appropriate PPE precautions  \n  Failure to voice and ultimately provide high oxygen concentrations [at least 85%]   Failure to ventilate patient at a rate of 10 – 12 / minute (1 ventilation every 5 – 6 seconds)   Failure to provide adequate volumes per breath [maximum 2 errors/minute permissible]  \n  Failure to pre-oxygenate patient prior to intubation and suctioning   Failure to successfully intubate within 3 attempts  \n  Failure to disconnect syringe immediately after inflating","cbCaidNtwytEgAEt","https://ap.wps.com/l/cbCaidNtwytEgAEt","pdf",448102,"English","# Ventilatory Management - Adult\n## Ventilation and Airway Steps\n## Intubation and Tube Placement Verification\n## Pre-oxygenation and Suctioning\n## Critical Failure Criteria","[{\"question\":\"What is the time requirement for initiating ventilations in this exam?\",\"answer\":\"Ventilations must be initiated within 30 seconds after applying gloves, and ventilations cannot be interrupted for greater than 30 seconds at any time.\"},{\"question\":\"What ventilation oxygen concentration and rate are required?\",\"answer\":\"High oxygen concentrations of at least 85% must be voiced and ultimately provided, and ventilation must be delivered at 10–12 per minute (one ventilation every 5–6 seconds).\"},{\"question\":\"How is correct endotracheal tube placement verified?\",\"answer\":\"Placement must be confirmed by auscultation bilaterally over each lung and over the epigastrium, and the candidate must demonstrate an additional method such as checking end-tidal CO2 or using a colorimetric device.\"}]","P303_NREMT - Ventilatory Management - Adult - Advanced Level Psychomotor Examination | PDF",1790203316]