Procedural Competency Form

Endotracheal Intubation. Resident:_____ Date:_____ Observing faculty:_____ Checklist of performance: Pre-procedure Yes No N/A Obtains informed consent when appropriate Evaluates airway for potential difficulty Pre-oxygenates patient Prepares and checks equipment Positions patient correctly Verbalizes back-up plan to supervising physician ... ................
................

In order to avoid copyright disputes, this page is only a partial summary.