Raven EMS Education Program ManualPreparatory Log Roll Evaluation Form
Date:
Student name:
Evaluator name:
Steps:
Take BSI precautions.
Explain the procedure to the patient (if conscious).
Rescuers get into position to roll the patient.
Roll the patient onto his or her side.
The fourth rescuer slides the backboard toward the patient.
Roll the patient onto the backboard.
Center the patient on the backboard and secure the patient before moving.
Accepts evaluation and criticism professionally.
Shows willingness to learn or asks appropriate questions.
Interacts with simulated patient and other personnel in a professional manner (ie, uses appropriate name, explains procedures, maintains modesty, is courteous to crew, etc).
Passing criteria:
Pass: At least 70% (? of ?) successfully completed above. Currently at 0% completed.
Fail.
Did not explain and reassure the patient to allow informed consent.
Fails to take BSI precautions prior to performing procedure.
