Task

Strongly agree

Agree

Neutral

Disagree

Strongly Disagree

Learner identifies need for and initiates resuscitation

5

4

3

2

1

Learner consistently verbalizes thoughts to medical team

5

4

3

2

1

Learner identifies need for intubation

5

4

3

2

1

Learner selects appropriate equipment for intubation

5

4

3

2

1

Learner selects correct blade and ETT size for intubation

5

4

3

2

1

Learner initiates CPR when necessary

5

4

3

2

1

Learner modifies equipment selection based on specific disease or patient characteristics when appropriate

5

4

3

2

1

Learner identifies cardiac arrhythmias correctly

5

4

3

2

1

Learner uses defibrillator correctly

5

4

3

2

1

Learner communicates with team effectively

5

4

3

2

1