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Skills Station Five

Spinal Immobilization - Seated Patient

This station is designed to test your ability to provide spinal immobilization on a patient using a half spine immobilization device.  You arrive on the scene with an EMT Assistant.  The assistant EMT has completed the scene size-up as well as the initial and focused assessments.  As you begin the station, there are no airway breathing or circulator problems.  You are requires to treat the specific isolated problem of an unstable spine using a half spine immobilization device.  When moving the patient to the device, you should use the help of the assistant EMT and the evaluator.  The assistant EMT should control the head and cervical spine of the patient while you and the evaluator move the patient to the immobilization device.  You are responsive for the direction and subsequent action of the EMT assistant.

Transferring the patient to a long spine board should be accomplished verbally only.

You have (10) ten minutes to complete this skill station.

 

Interface Features / Options

 - Review this skill and information

 - Take the skill knowledge test

 

KED Immobilization Tips

Remember the acronym "MBLHT" for My Baby Looks Hot Tonight, meaning to secure the "middle strap", "bottom strap", "leg straps", "head", and the "top strap"

 

Before memorizing and using the above acronym, please verify it's presence and effectiveness by your instructor to ensure it is acceptable in your class.

 

Skills Station Details

Takes or verbalizes, body substance isolation precautions

1

Directs assistant to place/maintain head in neutral in-line position

1

Directions assistant to maintain manual immobilization of the head

1

Reassesses motor, sensory and circulatory function in each extremity

1

Applies appropriately sized extrication collar

1

Positions the immobilization device behind the patient

1

Secures the device to the patient's torso

1

Evaluates torso fixation and adjusts as necessary

1

Evaluates and pads behind the patient's head as necessary

1

Secures the patient's head to the device

1

Verbalizes moving the patient to a long spine board

1

Reassesses motor, sensory and circulatory function in each extremity

1

TOTAL:

12

 

CRITICAL CRITERIA

___ Did not immediately direct, or take manual immobilization of the head

___ Released, or ordered release of manual immobilization before it was maintained mechanically

___ Patient manipulated, or moved excessively, causing potential spinal compromise

___ Patient moves excessively up, down, left or right on the device

___ Head immobilization allows for excessive movement

___ Upon completion of immobilization, head is not in neutral position

___ Did not reassess motor, sensory and circulatory function after immobilization

___ Immobilized head to the board before securing the torso

 

 

 

Related Skill Stations

 - Skills Station 5A - Supine Patient

 

Skills Station Testing

Knowledge Based Skills Testing

Skills Knowledge Test

Practical Skills Summary Test

Once you have reviewed the practical skill above, you may take a knowledge based test to ensure that you know the skill.

6 Questions

 

Take the Test Now

 

 

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