Tracheostomy checklist: Fill out & sign online

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Click ‘Get Form’ to open the tracheostomy checklist in the editor.
Begin by entering the student's name and school in the designated fields at the top of the form.
Proceed to each skill listed, starting with 'Wash hands.' Mark this as completed once performed.
For each subsequent skill, follow the instructions carefully. For example, ensure the student is in an upright position and that all equipment is assembled while maintaining sterility.
As you complete each skill, document your observations regarding secretions' color, amount, consistency, and odor in the provided space.
Once all skills are performed, have both preceptor and preceptee sign and date at the bottom of the form to confirm competency.

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Versions	Form popularity	Fillable & printable
2007	4 Satisfied (46 Votes)

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