Raven EMS Education Program ManualAirway Manual Head Tilt Chin Lift Evaluation Form
Date:
Student name:
Evaluator name:
Steps:
Take BSI precautions.
Place one hand on the patient’s forehead and one hand on the patient’s chin.
Gently tilt the head backward to open the airway.
Lift the patient slightly and slide the stretcher into place, one side at a time.
Lock the stretcher ends together and avoid pinching both the patient and or your fingers.
Secure the patient to the scoop stretcher, and transfer it to the stretcher.
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.
