STATION NO.

8
IMMOBILIZATION, STABILIZATION, LIFTING AND MOVING

OBJECTIVE: The participants shall be able to correctly perform CPR POINTS

DETERMINE PROPER BSI

# STEPS POSSIBLE GIVEN 2ND TAKE

1 Takes appropriate body substance isolation precautions 1

SCENE SAFETY

2 Assess scene safety 1

3 Determine Nature of Illness 1

4 Determine Mechanism of Injury 1

5 Determine number of Patients 1

6 Assess need for additional help 1

7 Take cervical spine precautions as necessary 1

MANUAL IN LINE STABILIZATION

8 Kneel behind the patient, and place your hands firmly around the base of the skull on either side. 1

Support the lower jaw with your index and long fingers and the head with your palms. Gently lift the head into a
9 neutral, eyes-forward position, aligned with the torso. Do not move the head or neck excessively, forcefully, or 1
rapidly.

Continue to support the head manually while your partner places a rigid cervical collar around the neck. Maintain
10 1
manual support until you have completely secured the patient to a backboard.

CERVICAL STABILIZATION

11 Directs assistant to place and maintain patient's head in a neutral and in-line position. * 1

12 Explains the procedure to the patient. 1

Selects or adjusts to the appropriate size a commercially-available cervical immobilization device according to the
13 1
manufacturer’s instructions.

17 Ensures that no jewelry or clothing is between the immobilization device and the patient’s skin. 1

Immobilization device is applied and secured without excessive movement or compromise to the patient’s airway
18 1
or blood vessels of the neck.

19 Maintains manual stabilization throughout procedure. 1

SPINAL STABILIZATION IN A SUPINE PATIENT

19 Directs assistant to place and maintain patient's head in a neutral and in-line position. 1

20 Explains the procedure to the patient. 1

21 Correctly sizes and securely applies a cervical collar while maintaining spinal alignment. 1

22 Assesses circulation, sensation, and motor function in all four extremities. 1

23 Directs assistants throughout procedure. 1

24 Rolls the patient while maintaining spinal alignment. 1

25 Evaluates the patient's posterior after the patient is rolled.

26 Positions backboard appropriately.

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 While maintaining spinal alignment, rolls the patient onto a backboard on command of the assistant maintaining
27
the cervical spine.

28 Centers the patient on the backboard, while maintaining spinal alignment.

29 Secures the patient to the backboard with straps across the chest, hips, and legs.

30 Stabilizes the head in a neutral, in-line position and secures the head to the backboard LAST.

31 Re-assesses the patient's circulation, sensation, and motor function in all four extremities.

32 Performs the entire procedure without excessive movement of the patient’s spine.

SCOOP STRETCHER

33 Adjust stretcher length. 1

34 Lift the patient slightly and slide stretcher into place, one side at a time. 1

35 Lock the stretcher ends together, avoiding pinching. 1

36 Secure the patient to the scoop stretcher and transfer it to the cot. 1

POWER LIFT

37 Lock back into an upright position. Spread and bend legs. 1

38 Grasp the backboard, palms up. Balance and center the weight between the arms. 1

39 Position the feet, straddle the object, and distribute weight. 1

40 Straighten the legs and lift, keeping back locked in. 1

CRITICAL CRITERIA POSSIBLE GIVEN 2ND TAKE

42 Take or verbalize BSI precautions 1

43 Evaluate the need for Scene Size Up 1

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

FAILED - SCORES BELOW 32 PASSED - SCORES 32 AND ABOVE

44
SCORE

REMARKS P/F

INSTRUCTORS COMMENTS: _______________________________________________________________________

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