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HomeMy WebLinkAboutPB 405.01K REVISED 5-2015_Spinal Immobilization-SupinePPPEEERRRFFFOOORRRMMMAAANNNCCCEEE BBBEEENNNCCCHHHMMMAAARRRKKKSSS 405.01K 405.01K 405.01K 405.01K ---- Spinal Immobilization of a Spinal Immobilization of a Spinal Immobilization of a Spinal Immobilization of a SupineSupineSupineSupine PatientPatientPatientPatient Anne Huff, Fire Chief Beaumont Fire-Rescue Services Discipline:Discipline:Discipline:Discipline: EMTEMTEMTEMT----BLSBLSBLSBLS Effective:Effective:Effective:Effective: 9/16/20099/16/20099/16/20099/16/2009 Revised:Revised:Revised:Revised: 5/22/25/22/25/22/25/22/2015015015015 Replaces:Replaces:Replaces:Replaces: I. I. I. I. ObjectiveObjectiveObjectiveObjective Given a human patient with a potential spinal injury, the candidate shall, within the allotted station time, use the proper technique to immobilize the spine using short immobilization devices. II. II. II. II. Instructions Instructions Instructions Instructions –––– PPPProcedures for Achieving the Objectiverocedures for Achieving the Objectiverocedures for Achieving the Objectiverocedures for Achieving the Objective You will explain and demonstrate the proper techniques for spinal immobilization with the equipment provided. You will begin at my instruction to start. The skill will end when you have completed all of the identified steps, and you tell me that you are finished. Do you understand these instructions? III. III. III. III. Examiner’s NoteExaminer’s NoteExaminer’s NoteExaminer’s Note The EMT will not be allowed to review the performance steps at the time of evaluation. IV. IV. IV. IV. Preparation & EquipmentPreparation & EquipmentPreparation & EquipmentPreparation & Equipment A. A person to act as the patient B. Extrication collars C. A vest-type short spinal immobilization device or a short board with straps D. Tape (for use only in immobilizing the head) E. Watch or clock which displays seconds V. V. V. V. Reference SourcesReference SourcesReference SourcesReference Sources A. TDSHS EMT Skills, Spinal Immobilization of a Seated Patient. B. TDSHS Criteria Sheet, TDSHS website. C. Brady Prehospital, 7th edition, pages 106-108. D. Brady Emergency Care, 9th edition, pages 122-126. E. SOG 203.01A, SOG 203.01L. PB 405.01K – Spinal Immobilization of Supine Patient Page 2 of 3 405.01K – Spinal Immobilization of Supine Patient Discipline: EMT-BLS Name: Officer #: Evaluator: Officer #: Date: Location: If the First Responder: a) Takes or verbalizes appropriate BSI precautions.......................................... P/FP/FP/FP/F_____ b) Directs assistant to place/maintain head in the neutral, in-line position ........ 1.0 _____ c) Directs assistant to maintain manual stabilization of the head ..................... 1.0 _____ d) Assesses motor, sensory and circulatory functions in each extremity ............. 1.0 _____ e) Applies appropriate sized extrication collar ................................................ 1.0 _____ f) Positions the immobilization device appropriately ....................................... 1.0 _____ g) Directs movement of the patient onto the device without compromising the integrity of the spine .......................................................................... 1.0 _____ h) Applies padding to voids between the torso and the device as necessary ...... 1.0 _____ i) Immobilizes the patient's torso to the device ............................................... P/FP/FP/FP/F_____ j) Evaluates and pads behind the patient’s head as necessary ........................ 1.0 _____ k) Immobilizes the patient’s head to the device .............................................. 1.0 _____ l) Secures patient's legs to device ................................................................ 1.0 _____ m) Secures patient's arms to device ............................................................... 1.0 _____ n) Reassesses motor, sensory and circulatory functions in each extremity ........... P/FP/FP/FP/F_____ CRITICAL CRITERIA ____ Did not immediately direct or take manual stabilization of the head ____ Did not properly apply appropriately sized cervical collar before ordering release of manual stabilization ____ Released or ordered release of manual stabilization before it was maintained mechanically ____ Manipulated or moved patient excessively causing potential spinal compromise ____ Head immobilized to the device before device sufficiently secured to the torso ____ Device moves excessively up, down, left or right on the patient’s torso ____ Head immobilization allows for excessive movement ____ Torso fixation inhibits chest rise, resulting in respiratory compromise ____ Upon completion of immobilization, head is not in a neutral, in-line position ____ Did not reassess motor, sensory and circulatory functions in each extremity after voicing immobilization to the long backboard ____ Failure to manage the patient as a competent EMT ____ Exhibits unacceptable affect with patient or other personnel ____ Uses or orders a dangerous or inappropriate intervention PB 405.01K – Spinal Immobilization of Supine Patient Page 3 of 3 Time Allocation Completes skill in allotted time ................................................................................... P/F _____ Allotted time for this skill: 10 minutes 0 seconds Actual time: _____ minutes _____ seconds Note: Attach this page to the first. Points Possible Passing Score Attempt Performance Rating (Points) PASS FAIL 11 8 First Second Medical Director’s Initials DK Date 5/22/2015