Raven EMS Education Program ManualBreathing BVM Evaluation Form
Date:
Student name:
Evaluator name:
Steps:
Take BSI precautions.
Open the airway: head tilt–chin lift or jaw-thrust maneuver; pad under the shoulders for a pediatric patient.
Insert appropriate-size airway adjunct (OPA or NPA).
Select appropriate-size bag-mask device and mask (adult, pediatric, or infant) and attach the mask to the device.
Connect the oxygen tubing.
Set the oxygen flow rate to 15–25 L/min.
Secure the mask to the patient’s face: Note: If two rescuers are needed to create a good seal, use the double C-E clamp technique or the thenar eminences (T-E) technique (place thumbs on maxillae and fingers on mandible) while your partner squeezes the bag.
Place the mask over the nose and mouth.
Using one hand, place your thumb on mask at the apex and your index finger on the mask at chin level (C-E clamp technique).
With your remaining three fingers, pull the mandible forward to maintain a patent airway.
Ventilate by squeezing the bag with your free hand once every 5–6 seconds (10–12 breaths/min) for adults and once every 3–5 seconds (12–20 breaths/min) for pediatric patients.
Observe for chest rise.
Auscultate lung sounds (fourth to fifth ICS mid-axillary).
Assess lung compliance while ventilating.
Accepts evaluation and criticism professionally.
Shows willingness to learn/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.
Selects inappropriate-size equipment (too large or too small).
Fails to maintain adequate mask-to-face seal.
Fails to obtain adequate chest rise with ventilation.
Fails to assess lung sounds.
Uses inappropriate rate and/or depth of ventilation (too fast or slow; too shallow or deep).
