STATION 7A,7B SEATED/SUPINE SPINAL IMMOB only for National Registry Certification
SUPINE (LONG BOARD) SEATED (KED)
- DIRECT YOUR PARTNER TO HOLD HEAD STABILIZATION!
- CHECK CMS IN ALL FOUR EXTREMITIES!
- APPLY COLLAR
position board next to patient
ON HEAD COUNT - LOG ROLL PATIENT TOWARD YOU
SLIDE BOARD UNDER PATIENT, POSITIONING TOP OF BOARD SLIGHTLY HIGHER THAN TOP OF HEAD
-ON HEAD COUNT - LOG ROLL PATIENT GENTLY ONTO BOARD
- POSITION PATIENT ON BOARD BY WORKING WITH PARTNER MOVING PATIENT DOWN TOWARDS FOOT OF BOARD THEN UP TO HEAD OF BOARD.
be very careful not to rotate or jostle patient
note location of board holes
head should be at end of board
- SECURE STRAPS- remember you can fold it over so you are not working with 9 feet of strap...
CHEST - should be right up under armpits, over scapulas
TORSO - should be over hip bones
LEGS - either right above or right below knee
REMEMBER ' BONE TO BOARD '
PLACE HEAD BLOCKS ON EITHER SIDE OF HEAD (STRAIGHT SIDE NEXT TO HEAD), DIRECTING ASSISTANT TO REPLACE HAND AND HOLD BLOCKS
SECURE HEAD BLOCKS WITH TAPE (OR STRAP) ATTACHED TO BOARD,
one over forehead
one over chin (not on soft palate)
VERBALIZE THAT NOW PATIENT IS NOW SECURE AND THAT NOW ASSISTANT CAN DISCONTINUE MANUAL STABILIZATION
- DIRECT YOUR PARTNER TO HOLD HEAD STABILIZATION!
- CHECK CMS IN ALL FOUR EXTREMITIES!
- APPLY COLLAR
ON HEAD COUNT, POSITION PT LEANING FORWARD, PIVOTING AT HIPS
POSITION KED BEHIND PT, HAVE UNDER ARMPITS
UNDO LEG STRAPS FROM BEHIND KED, LET THEM FALL TO THE FLOOR
BE CAREFUL NOT TO MOVE PT UNNECESSARILY - PT MAY HAVE SPINAL INJURY!
FASTEN EACH ABDOMINAL STRAP TO PT, REMEMBER TO USE PUSH/PULL METHOD SO PT IS NOT MOVED UNNECESSARILY
CHECK TO MAKE SURE STRAPS ARE TIGHT - NOT TOO TIGHT ON THE CHEST (RESTRICTING BREATHING)
ATTACH LEG STRAPS, REMEMBER TO LEAVE SOME SLACK IN THE BACK BEFORE YOU SLIDE THE STRAPS UNDER THE LEG. YOU CAN ASK PT. TO POSITION LEG UP ON TIPTOE IF APPROPRIATE TO HELP POSITION STRAP. SHIMMY STRAP UP TO GROIN AREA, FASTEN IN BACK. STRAP IN BACK SHOULD BE MID BUTTOCK.
FASTEN HEAD STRAP OVER FOREHEAD
FASTEN CHIN STRAP
PAD VOIDS BEHIND HEAD IF NECESSARY, ASK PT TO ROTATE SHOULDERS BACK, AND PADDING MAY NOT BE NEEDED.
WHEN STRAPS ARE FASTENED, PARTNER MAY RELEASE HEAD STABILIZATION.
VERBALIZE THAT NOW PATIENT IS NOW SECURE AND THAT NOW ASSISTANT CAN DISCONTINUE MANUAL STABILIZATION
CHECK CMS IN ALL FOUR EXTREMITIES
VERBALIZE MOVING PT TO LONG BOARD AND TRANSPORTING HIGH PRIORITY
- SECURE ARMS - YOU CAN TAPE THUMBS
CHECK TO MAKE SURE STRAPS ARE TIGHT - NOT TOO TIGHT ON THE CHEST (RESTRICTING BREATHING)
CHECK CMS IN ALL FOUR EXTREMITIES
VERBALIZE YOU ARE TRANSPORTING HIGH PRIORITY