Raven EMS Education Program ManualAirway King Evaluation Form
Date:
Student name:
Evaluator name:
Steps:
Take BSI precautions.
Open the airway: head tilt–chin lift or jaw-thrust maneuver.
Insert the OPA or NPA adjunct.
Ventilate the patient immediately with the bag-mask device unattached to oxygen at one breath every 3–5 seconds (12–20 breaths/min).
Attach the bag-mask device to high-flow oxygen at 15–25 L/min.
Ventilate the patient at a rate of one breath every 5–6 seconds (10–12 breaths/min) for at least 30 seconds.
Direct your partner to continue proper ventilation and to pre-oxygenate the patient.
Attach SpO2 and maintain at ≥94%.
Select and prepare the appropriate King based on the patient’s height.
Test the cuffs on King for leaks by inflating with the recommended volume of air (check the tube for the precise amount of air.
Lubricate the distal end of the tube.
Position the patient’s head properly.
Instruct your partner to prepare for airway insertion, remove the OPA, and provide a 30-second time count.
Insert the King with the blue orientation line touching the corner of the mouth.
Advance the King airway behind the base of the tongue.
As the tube tip passes under the tongue, rotate the tube back to midline (blue orientation line should now face the chin).
Advance the King airway until the base of the bag-mask device connector aligns with the teeth or gums.
Inflate the cuff using the maximum air volume allowed.
Attach the bag-mask device to the tubing and ventilate the patient at one breath every 6 seconds while seating the device in the proper position (simultaneously withdraw the tube until ventilation is free and easy).
Confirm proper placement by auscultating for negative epigastric sounds and positive bilateral lung sounds at the fourth to fifth ICS mid-axillary and seeing good chest rise. If the initial airway placement is unsuccessful, immediately deflate both cuffs and prepare to suction; oxygenate the patient for a minimum of 30 seconds before reattempting advanced airway insertion.
Secure the King airway to the patient with a tube tamer or tape (do not cover the gastric access lumen).
Dispose of all equipment properly.
Continue to reassess the patient and interventions.
Accepts evaluation and criticism professionally.
Shows willingness to learn or asks appropriate questions.
Interacts with simulated patient and other personnel in a professional manner (ie, uses appropriate name, explains procedures, maintains modesty, is courteous to crew, etc).
Passing criteria:
Pass: At least 70% (? of ?) successfully completed above. Currently at 0% completed.
Fail.
Fails to take BSI precautions prior to performing procedure.
Fails to perform BLS airway maneuvers and properly ventilate patient.
Fails to properly secure device (if applicable).
Fails to pre-oxygenate patient prior to procedure or between King airway insertion attempts.
Fails to ventilate at appropriate rates/tidal volume.
Fails to ultimately provide (verbalize) high-flow oxygen.
Fails to establish patent airway in three attempts of the King airway.
Fails to assure proper tube placement by auscultation bilaterally and over the epigastrium.
Leaves syringe attached after injecting air or injecting inappropriate amounts of air (too little or too much).
Inserts any airway adjunct in a manner dangerous to the patient.
