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DocuSign Envelope ID:79C5D167-B6CA-4E59-B4AC-AA38CC1 B20BD <br /> PHASE 3 Skills/Tasks <br /> Orange County Preceptee Task Book Name <br /> Skill/Task Date Trained Preceptee Initials FTO Initials <br /> Airway Surgical Cricoth rotom <br /> a. Equipment location <br /> b. Indications <br /> c. Contraindications <br /> d. Procedure <br /> Induced Hypothermia <br /> a. Equipment location <br /> b. Indications <br /> c. Contraindications <br /> d. Procedure <br /> Cardioversion <br /> a. Indications <br /> b. Contraindications <br /> c. Procedure <br /> Chest Decompression: <br /> a. Location of equipment <br /> b. Indications <br /> c. Procedure <br /> Intravenous Drip Administration <br /> a. EPI drips <br /> b. Dopamine drips <br /> c.Amiodarone drips <br /> Venous Catheters Accessing Existing <br /> a. Indications <br /> b. Procedure <br /> c. Specialty Equipment <br /> Defibrillation Manual <br /> a. Indications <br /> b. Contraindications <br /> c. Procedure <br /> External Cardiac Pacing <br /> a. Indications <br /> b. Contraindications <br /> c. Procedure <br /> Verification of all Phase 3 Skills/Tasks completed with proficiency: <br /> Preceptee (sign) <br /> (date) <br /> FTO/Preceptor <br /> Supervisor (1520) _/ / <br />