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Rotation Goals and Objectives

Knowledge

  • Identify risk factors for difficult mask ventilation
  • Identify risk factors for difficult intubation
  • Identify risk factors for difficult tracheostomy
  • Know indications for a rapid sequence induction and intubation
  • Know contraindications for a rapid sequence induction and intubation
  • Know contraindications for succinylcholine
  • Know differences between the pediatric airway and adult airway

Performance will be evaluated by a pre- and post-test. A passing score will be 70% on the post-test

Simulation

  • Demonstrate ability to properly position a patient
  • Demonstrate ability to bag mask ventilate a patient (One and 2 handed)
  • Demonstrate ability to place an oral and nasal airway
  • Demonstrate ability to place an LMA
  • Demonstrate ability to perform direct laryngoscopy
  • Demonstrate ability to use an airway bougie
  • Demonstrate ability use a video laryngoscope

Performance will be evaluated by demonstration of good technique

Patient Care

  • Meet with the anesthesia provider before the case starts to introduce yourself
  • Introduce yourself to the patient and perform an airway exam
  • Identify any airway concerns and discuss the management of the airway with the anesthesia provider
  • Pre-oxygenate the patient and perform bag mask ventilation when appropriate
  • Perform or assist with placement of LMA, direct laryngoscopy, or video laryngoscopy
  • Assist or observe advanced instrumentation of the airway
  • Be available for feedback on performance
  • Rotators will keep track of the number of patients they take care of, the number of LMAs they attempt to place, the number of direct laryngoscopies they attempt, and the number of video laryngoscopies they attempt. Rotators should also keep track of how many pediatric airways they manage.

Performance will be by evaluations handed by the rotator to an anesthesiologist on a day they feel they performed well, once a week

Expectations For Me

I or someone from the department will connect the night before with Dr. Giordano, Dr. Martin, Ms. Aminzadeh, Ms. Ford, and Ms. Massey to find out which rooms the AAs, SRNAs, medical students, and CA-1s in their first 6 months of training are placed in. During the first week, I or Mr. Levites will place the rotator in one room to participate in airway management and seek feedback during the course of the morning. For the last 3 weeks, I or Mr. Levites will connect with rotators with 4 – 5 rooms for them to potentially participate in patient care. If possible, I will try to place Emergency Medicine Residents in a pediatric room once a week. I or another anesthesiologist will be available or find a stand in to teach in the simulator during the first week of each rotation. I will provide feedback to respective departments on rotators performance.