SKILLS EVALUATION NO.

6 - A - MUSCULOSKELETAL INJURY
OBJECTIVE: The participants shall be able to correctly perform Musculoskeletal splinting POINTS

DETERMINE PROPER BSI

# POSSIB 2ND
STEPS GIVEN
LE TAKE

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1 Takes appropriate body substance isolation precautions

SCENE SAFETY

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2 Assess scene safety

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3 Determine Nature of Illness

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4 Determine Mechanism of Injury

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5 Determine number of Patients

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6 Assess need for additional help

1
7 Take cervical spine precautions as necessary

MUSCULOSKELETAL INJURY

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8 Cover open wounds with a dry, sterile dressing, and apply pressure to control bleeding.

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9 Apply a splint, and elevate the extremity about 6” (slightly above the level of the heart).

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10 Apply cold packs if there is swelling, but do not place them directly on the skin.

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11 Position the patient for transport, and secure the injured area.

SPLINTING THE HAND AND WRIST

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8 Move the hand into the position of function.

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9 Place a soft roller bandage in the palm.

1
10 Apply a padded board splint on the palmar side with fingers exposed.

1
11 Secure the splint with a roller bandage.

LONG BONE SPLINTING

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8 Explains the procedure to the patient.

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9 Directs the assistant to stabilize the extremity.

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10 Exposes the injured extremity.

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11 Removes jewelry from injured extremity.

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12 Checks circulation, sensation, and motor function distal to the injury.

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13 If severe deformity is present, or extremity is cyanotic or pulseless, applies gentle traction to align bone.

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14 If open wound is present, applies and secures a moist sterile dressing to the wound.

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15 Selects an appropriate splint and applies padding if necessary.

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16 Applies the splint to the injured extremity, while supporting fracture site and without excessive movement .

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17 Secures the splint.

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18 Immobilizes joints above and below the fracture site.

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19 Re-assesses the circulation, sensation, and motor function distal to the injury.

TRACTION SPLINT

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8 Explains the procedure to the patient.

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9 Directs the assistant to stabilize the injured leg

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10 Exposes the injured extremity.

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11 Removes shoe and sock on injured leg.

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12 Checks circulation, sensation, and motor function distal to the injury before moving leg or applying traction..

HIP IMMOBILIZATION

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8 Assess pulse, motor, and sensory function. Cover wounds with dry, sterile dressings. Apply direct pressure, if necessary.

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9 Place patient onto a scoop stretcher or long backboard by logrolling onto the uninjured leg while another provider supports injured extremity.

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10 Continue to support the injured extremity while another provider places a blanket roll between the patient s legs.

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11 Place blankets and pillows under the injured extremity.

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12 Secure both legs and the padding with at least three cravats or straps.

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13 Reassess pulse, motor, and sensory function.

POSSI 2ND
CRITICAL CRITERIA GIVEN
BLE TAKE

1
1 Take or verbalize BSI precautions

1
2 Evaluate the need for Scene Size Up

1
3 Immediately direct initiation / resumption of CPR at appropriate times

FAILED - SCORES BELOW 12 PASSED - SCORES 12 AND ABOVE SCORE 16

REMARKS P/F

PARTICIPANTS COMMENTS: _______________________________________________________________________

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EVALUATOR’S COMMENTS: ________________________________________________________________________
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