Request Skills Verification Checklist

Customer Support

Teleflex

3015 Carrington Mill Boulevard Morrisville, NC 27560

Toll Free: 866-246-6990 Phone: 919-544-8000 Fax: 866-804-9881
24-Hour Clinical Support:
888-413-3104

USA / Product Areas / Emergency Medicine / Training and Education Resources / Request Skills Verification Checklist

Skills Verification Checklists are a useful tool to help your staff maintain product skill competency. Each checklist template includes training objectives, procedure steps, and a competency chart for easy evaluation of clinician skills. Please fill out the following information and the checklist(s) will be provided to you via email.

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Additional Comments

Please send me the follow Skills Verification Checklist (check boxes that apply)* Required

Arrow^® EZ-IO^® Vascular Access System
LMA^® Supreme^™ Airway
MAD Nasal^™ Intranasal Mucosal Atomization Device
Rüsch^® QuickTrach^® Cricothyrotomy Kit

By completing this form, you are granting Teleflex permission to add your contact information to its database and consent to receiving product and educational information and communications related to Teleflex products and services. You may revoke this permission at any time by emailing EMS@teleflex.com. Teleflex respects the confidentiality of personal information. We will not share your personal information, except as otherwise noted in our privacy policy on our website.