Raven EMS Education Program Manual Trauma Splint Cervical Spine Evaluation Form
Date:
Student name:
Evaluator name:
Steps:
Take BSI precautions.
Use the jaw-thrust maneuver to open the airway and avoid head or neck movement.
Explain the procedure to the patient (if conscious).
Direct your partner to hold and maintain manual stabilization of c-spine:
Kneel behind the patient.
Firmly place your hands on either side of the head without covering the patient’s ears.
Gently place the head in a neutral, eyes-forward position, in line with the torso.
Use the fingers to measure the vertical distance between the patient’s trapezius muscle and chin (as if a straight line was drawn from the chin back toward the neck).
Adjust the height of the c-collar to the appropriately measured distance, per manufacturer’s instructions.
Place chin portion of the collar first.
Wrap the collar around the neck.
Secure the collar.
Continue to maintain manual stabilization until the patient is fully secured to the backboard.
Accepts evaluation and criticism professionally.
Shows willingness to learn/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% (12 of 16) successfully completed above. Currently at 0% completed.
Fail.
Fails to take or verbalize infection control precautions prior to performing procedure.
Did not explain and reassure the patient to allow informed consent.
Uses excessive movement or manipulation of head or neck.
