The new downloadable airway verification form is a means of
documenting advanced airway procedures performed in the
The form is designed to be utilized in the field to document the
procedure. The final and critical aspect of the form is to obtain a
signature of the receiving physician verifying proper placement of
the advanced airway prior to leaving the receiving facility. The form
may then be copied for the receiving facility. The form may also be
utilized as a reference when completing the prehospital patient care
record by the advanced life support provider.
Download a copy of the form in the SafetyCentral section.