Endotracheal Tube Holders Product Evaluation

We value your opinion

We appreciate your input on the Dale Endotracheal Tube Holders.

Please answer the following questions:

270/280 | Endo Trach Holders Evaluation Form

Which endotracheal tube holder are you evaluating?

270 Stabilock

280 BreezeLock®

Was the base placed directly above the patients lip?

Yes

Was the adhesive base modified to accommodate facial hair/facial trauma/other reason?

Yes

Was skin prep applied prior to applying the base?

Yes

What type?

What type of tape was used to secure the endotracheal tube to the Channel?

Was the tape applied to a dry, clean tube?

Yes

Was the tape spiral wrapped around the channel and tube?

Yes

Was the tape applied 1” past the channel?

Yes

How often was the tape changed on the Channel and tube?

hours

Reason for change:

Tape loosened

Tape was dirty

Other

What was used to support the ventilator tubing?

Ventilator Arm

Rolled towel

Other

What size endotracheal tube was used on this patient?

How often was the tube rotated from corner to corner of the mouth?

hours

How long was the device worn?

If worn more than 3 days, was the base changed on/before the 3rd day?

Yes

N/A

What is your current method of securing an endotracheal tube holder?

Please rate how the Dale Endotracheal Tube Holder performed compared to your current method:

	Better	Same	Worse
Application
Overall Security
Ability to perform suction/oral care
Patient Comfort
Cleanliness
Durability
Ability to rotate tube from one side to the other
Skin condition after removal
Overall Satisfaction

Would you recommend this product for regular use?

Yes

Please cite any additional comments you may have:

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Endotracheal Tube Holders Product Evaluation

We value your opinion

Contact Information