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Critical failure criteria cover delays beyond 30 seconds, PPE and oxygen concentration requirements, ventilation rate/volume limits, correct pre-oxygenation, proper insertion within attempts, cuff syringe removal, securing straps, and safe patient 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immediate actions earn full credit during initial ventilation with BVM and oxygen attachment?","Question",{"text":63,"@type":64},"Full credit must be awarded for steps denoted by bold as long as the first ventilation is delivered within 30 seconds.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What are the critical timing and interruption requirements for ventilation?",{"text":68,"@type":64},"Initiate ventilations within 30 seconds after taking body substance isolation precautions, and do not interrupt ventilations for greater than 30 seconds at any time.",{"name":70,"@type":61,"acceptedAnswer":71},"What are the key critical failures related to oxygen concentration and ventilation performance?",{"text":72,"@type":64},"Critical criteria include failure to voice and ultimately provide high oxygen concentration at least 85%, and failure to ventilate at 10–12 per minute (one ventilation every 5–6 seconds) with adequate volumes per 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\nCandidate:   Examiner:   Date:   Signature:    \nDevice:    \nNOTE: 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.  \nActual Time Started:    \nPossible  \nPoints  \nPoints 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 high-flow 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 and equal bilaterally and medical direction has ordered insertion of a supraglottic airway. The examiner must now take over ventilation. |  |  |  |\n| Checks/prepares supraglottic airway device |  | 1 |  |\n| Lubricates distal tip of the device [may be verbalized] |  | 1 |  |\n| NOTE: Examiner to remove OPA and move out of the way when candidate is prepared to insert device. |  |  |  |\n| Positions head properly |  | 1 |  |\n| Performs a tongue-jaw lift |  | 1 |  |\n| Inserts device to proper depth |  | 1 |  |\n| Secures device in patient [inflates cuffs with proper volumes and immediately removes syringe or secures strap] |  | 1 |  |\n| Ventilates patient and confirms proper ventilation [correct lumen and proper insertion depth] by auscultation bilaterally over lungs and over the epigastrium |  | 1 |  |\n| Adjusts ventilation as necessary [ventilates through additional lumen or slightly withdraws tube until ventilation is optimized] |  | 1 |  |\n| Verifies proper tube placement by secondary confirmation such as capnography, capnometry, EDD or colorimetric device |  | 1 |  |\n| NOTE: The examiner must now ask the candidate,“How would you know if you are delivering appropriate volumes with each ventilation?” |  |  |  |\n| Secures device or confirms that the device remains properly secured |  | 1 |  |\n| Ventilates patient at proper rate and volume while observing capnography/capnometry and pulse oximeter |  | 1 |  |\n| Actual Time Ended: | TOTAL | 18 |  |\n\n__________  \nCritical Criteria  \n  Failure to initiate ventilations within 30 seconds after taking body substance isolation precautions or interrupts ventilations for greater than 30 seconds at any time  \n  Failure to take or verbalize appropriate PPE precautions  \n  Failure to voice and ultimately provide high oxygen concentration [at least 85%]   Failure to ventilate the 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]   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  \n  Failure to secure the strap (if present) prior to cuff inflation  \n  Failure to confirm that patient is being ventilated properly (correct lumen and proper insertion depth) by auscultation bilaterally over lungs andover the epigastrium  \n  Insertion or use of any adjunct in a manner dangerous to ","cbCaiqJvChtJnnBr","https://ap.wps.com/l/cbCaiqJvChtJnnBr","pdf",343052,"English","# SUPRAGLOTTIC AIRWAY DEVICE\n## Candidate ventilation and device insertion steps\n## Critical criteria and required documentation","[{\"question\":\"What immediate actions earn full credit during initial ventilation with BVM and oxygen attachment?\",\"answer\":\"Full credit must be awarded for steps denoted by bold as long as the first ventilation is delivered within 30 seconds.\"},{\"question\":\"What are the critical timing and interruption requirements for ventilation?\",\"answer\":\"Initiate ventilations within 30 seconds after taking body substance isolation precautions, and do not interrupt ventilations for greater than 30 seconds at any time.\"},{\"question\":\"What are the key critical failures related to oxygen concentration and ventilation performance?\",\"answer\":\"Critical criteria include failure to voice and ultimately provide high oxygen concentration at least 85%, and failure to ventilate at 10–12 per minute (one ventilation every 5–6 seconds) with adequate volumes per breath.\"}]","SUPRAGLOTTIC AIRWAY DEVICE - Advanced Level Psychomotor Examination | PDF",1790203343]