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For each intervention—airway management (BIAD, orotracheal intubation, CPAP, surgical cricothyrotomy), ventilation and tube placement confirmation, medication delivery via nebulization, cardioversion, transcutaneous external pacing, nasogastric tube insertion, and chest decompression—the evaluator lists indications, contraindications/complications, equipment setup, patient preparation, critical technical steps, reassessment, and communication/notification requirements. Bolded items indicate automatic failures requiring retesting.",{"@graph":14,"@context":65},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/paramedic-skill-check-sheet-2017/400172/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/paramedic-skill-check-sheet-2017/400172.png","ImageObject",300,407,{"name":42,"@type":43},"Ivy","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-07","2026-09-27",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",18,{"@type":57,"mainEntity":58},"FAQPage",[59],{"name":60,"@type":61,"acceptedAnswer":62},"How is tube placement confirmed during airway and tube tasks?","Question",{"text":63,"@type":64},"Placement is confirmed using waveform capnography for airway devices, and for nasogastric tube placement by aspirating gastric contents or auscultating over the epigastrium with air injection through the tube.","Answer","https://schema.org",{"og:url":32,"og:type":67,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":69,"canonical":32},"index,follow",{"doc_id":71,"site_id":7},400172,1790531800,{"code":4,"msg":74,"data":75},"success",[76,80,84,88,93,98,102,107,112,115,119],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":77,"show_sort_weight":78,"slug":79},"Story & 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Assembles equipment (includes checking cuffs for leakage,  \nlubricating tube, capnography, pulse ox, and having suction on-hand)  \n   Pre-oxygenates patient with BVM  \n  Positions patient’s head properly  \n  Inserts airway properly  \n  Inflates cuffs (to manufacturer’s recommendations)   Ventilates patient and listens for breath sounds  \n   Secures BIAD to patient  \n   Confirms tube placement using waveform capnography  \n   Discusses the indications for BIAD removal  \nBolded items represent “automatic failures” and the need for retesting.  \nEvaluator:    \nPass Fail  \nAirway Orotracheal Intubation (ETT)  \n  Identifies indication and complications of intubation  \n  Assembles equipment (includes checking cuff for leakage,  \nlubricating tube, and having suction on-hand)  \n  Pre-oxygenates patient with BVM  \n  Positions patient’s head properly, insert laryngoscope and visualizes  \nvocal cords appropriately  \n  Insert ETT through the vocal cords (maximum of three attempts)  \n  Attach waveform capnography, ventilate patient (minimum of six  \nventilations with BVM) and assesses breath sounds (confirm placement-capnography)  \n  Adjusts ofremoves tube if indicated  \n  Inflate cuff on ETT reassess breath sounds, and secure ETT to patient  \nBolded items represent “automatic failures” and the need for retesting.  \nEvaluator:    \nPass Fail  \nCardioversion  \n  Identifies indications for cardioversion  \n  Explains procedure to patient  \n   Turns monitor on, applies pads and cables appropriately  \n  Interprets rhythm  \n   Establishes an IV and pre-medicates the patient  \n  Sets energy selection to appropriate joules  \n  Sets monitor/defibrillator in the synchronized mode  \n  Performs a verbal and visual “CLEAR”  \n  Reassess patient  \n  Notifies hospital or contacts medical control when indicated  \nBolded items represent “automatic failures” and the need for retesting.  \nEvaluator:    \nPass Fail  \nNebulized Medication Administration  \n  Identifies indication for medication, dosage and that no  \ncontraindications are present  \n  Explains procedure to patient  \n  Assembles equipment (includes correct medication and dosage,  \nchecking expiration dates, purity)  \n  Pours correct amount of medication into reservoir well of nebulizer  \n  Connects nebulizer to oxygen source and adjusts oxygen flow  \n  Encourages patient to inhale normally through the mouthpiece or  \nnebulizer mask until medication is depleted.  \n  Reassess patient  \nBolded items represent “automatic failures” and the need for retesting.  \nEvaluator:    \nPass Fail  \nAirway – CPAP (Continuous Positive Airway Pressure)  \n  Identifies indication(s) / contraindication(s) for CPAP/PEEP  \n   Ensures adequate oxygen supply to ventilation device and nasal  \ncapnography is applied  \n   Explains procedure to patient and consider placement ofa  \nnasopharyngeal airway  \n   Places delivery mask over patient’s mouth and nose. Oxygen should  \nbe flowing through device.  \n   Secure mask with provided straps starting with lowerstraps until  \nminimal air leak occurs.  \n  If PEEP adjustable on CPAP device, adjust the PEEP  \n   Reassess patient response, assessing breath sounds, oxygen  \nsaturation, general appearance and nasal capnography  \n   Titrate oxygen levels to patient’s response.  \n   Encourage patientto allow forced ventilation to occur. Observe closely for  \nsigns ofcomplications.  \nBolded items represent “automatic failures” and the need for retesting.  \nEvaluator:    \nPass Fail  \nTranscutaneous External Pacing  \n  Identifies indication for external pacing  \n  Explains procedure to patient if responsive  \n  Turns monitor on, applies pads and cables appropriately  \n  Establishes an IV and pre-medicates the patient if indicated  \n  Turns paceron and sets desired pacing rate per protocol  \n  Increases energy level until capture is obtained  \n  Continue to pace patient atan output level that is about 10%  \nhig","cbCaittmqQbD2tzx","https://ap.wps.com/l/cbCaittmqQbD2tzx","pdf",257062,"English","# Blind Insertion Airway Device (BIAD) \n## Orotracheal Intubation (ETT) \n## Cardioversion \n## Nebulized Medication Administration \n## Airway - CPAP (Continuous Positive Airway Pressure) \n## Transcutaneous External Pacing \n## Airway - Surgical Cricothyrotomy \n## Nasogastric Tube Insertion \n## Chest Decompression","[{\"question\":\"How is tube placement confirmed during airway and tube tasks?\",\"answer\":\"Placement is confirmed using waveform capnography for airway devices, and for nasogastric tube placement by aspirating gastric contents or auscultating over the epigastrium with air injection through the tube.\"}]","Paramedic Skill Check Sheet - 2017 | PDF",1790508593]