Skill Guide
11 November 2018 - 00:21
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Version 17
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LynnwoodBrown
Documentation
TODOTopics of type 'SkillGuide'
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| TopicTitle | text | 75 | Title for guide | ||||
| Summary | text | 75 | Short description | ||||
| Skills Hidden | text | 75 | |||||
| Skills | select+values+multi | 70 | , Applies the stabilizing device to stabilize the object from movement.=AppliesTheStabilizingDeviceToStabilizeTheObjectFromMovement, Applies Sterile dressing and direct pressure=AppliesSterileDressingAndDirectPressure, Applies cooling method to help reduce swelling/bruising=AppliesCoolingMethodToHelpReduceSwellingBruising, Applies gentle traction/tension as needed, rotating extremity if necessary and if tolerated by patient.=AppliesGentleTractionTensionAsNeededRotatingExtremityIfNecessaryAndIftoleratedByPatient, Applies high flow oxygen via nonbreather=AppliesHighFlowOxygenViaNonbreather, Applies an occlusive dressing and tape according to local protocol if sucking chest wonds is present.=AppliesOcclusiveDressing, Apply suction in a side to side or circular motion as you withdraw the catheter=ApplySuctionInASideToSideOrCircularMotionAsYouWithdrawTheCatheter, Arranges for transport of patient.=ArrangesForTransportOfPatient, Arranges for rapid transport=ArrangesForRapidTransport, Assesses CMS.=AssessesCMS, Assesses airway, breathing, circulation (ABCDs)=AssessesAirwayBreathingCirculation, Assesses CMS in each extremity.=AssessesCMSInEachExtremity, Assesses respirations for the following: Rhythm, Depth, Effort, Noise=AssessesRespirationsForTheFollowing, Assesses the ABCDs, controls any bleeding=AssessesTheABCDsControlsAnyBleeding, Assists breathing, manages/treats life threats.=AssistsBreathingManagesTreatsLifeThreats, Attach the oxygen connective tubing to the flow meter.=AttachTheOxygenConnectiveTubingToTheFlowMeter, Attach the regulator/flow meter to the valve stem using the two pin-indexing holes and make sure that the washer is in place over the larger hole, do not overtighten.=AttachTheRegulatorFlowMeterToTheValveStem, Bandages any wounds as necessary=BandagesAnyWoundsAsNecessary, Bandages the wound and immobilizes as appropriate=BandagesTheWoundAndImmobilizesAsAppropriate, Based on the chief complaint, gathers information by asking OPQRST questions.=BasedOnTheChiefComplaintGathersInformationByAskingOPQRSTQuestions, Calls for transport, equipment, and/or additional assistance, EMS if needed.=CallsForTransportEquipmentAndOrAdditionalAssistanceEMSIfNeeded, Calls for transport, equipment, and/or additional assistance.=CallsForTransportEquipmentAndOrAdditionalAssistance, Check for/correct any leaks. Check for adequate pressure in tank. =CheckForCorrectAnyLeaksCheckForAdequatePressureInTank, Checks for and controls any major bleeding.=ChecksForAndControlsAnyMajorBleeding, Chooses the correct device/material for splinting/stabilization.=ChoosesTheCorrectDeviceMaterialForSplintingStabilization, Clears/maintains airway and manages secretions.=ClearsMaintainsAirwayAndManagesSecretions, Close regulator and release pressure from tank.=CloseRegulatorAndReleasePressureFromTank, Communicates to the patient the procedure you will perform.=CommunicatesToThePatientTheProcedureYouWillPerform, Confirms and monitors LOR (AVPU or GCS).=ConfirmsAndMonitorsLORAVPUOrGCS, Continue until the flange rests against the skin. If you feel any resistance or obstruction, remove the airway and insert it into the other nostril.=ContinueUntilTheFlangeRestsAgainstTheSkin, Continues manual stabilization until the patient is secured to a backboard.=ContinuesManualStabilizationUntilThePatientIsSecuredToABackboard, Correctly sizes and applies cervical collar.=CorrectlySizesAndAppliesCervicalCollar, Counts number of breaths for 30 seconds and multiply by tow for respirations per minute determines if patient is breathing within normal limits (12–20 adult) (14–24 child) (20-30 infant).=CountsNumberOfBreathsFor30Seconds, Covers the injured eye with a moist sterile dressing.=CoversTheInjuredEyeWithAMoistSterileDressing, Creates a stabilizing device (use a handmade cravat donut or a paper cup).=CreatesAStabilizingDeviceUseAHandmadeCravatDonutOrAPaperCup, Crosses ends of cravats that are behind patient to make a figure eight.=CrossesEndsOfCravatsThatAreBehindPatientToMakeAFigureEight, Crosses torso straps over the patient’s shoulders and secures to board; pads behind the patient’s head, filling voids; secures the patient’s head to the board using two cravats (forehead and chin).=CrossesTorsoStrapsOverThePatientSShouldersAndSecuresToBoard, Determines if patient can speak in complete sentences.=DeterminesIfPatientCanSpeakInCompleteSentences, Determines if patient has breathing problems.=DeterminesIfPatientHasBreathingProblems, Determines the number of lifters available for positioning:=DeterminesNumberOfLiftersAvailable, Determines scene is safe=DeterminesSceneIsSafe, Determines the MOI (mechanism of injury) and/or NOI (nature of illness)—patient’s chief complaint.=DeterminesTheMOIMechanismOfInjuryAndOrNOINatureOfIllnessPatientSChiefComplaint, Directs helper to stabilize above and below the injury site=DirectsHelperToStabilizeAboveAndBelowTheInjurySite, Do not suction an adult for more than 15 seconds.=DoNotSuctionAnAdultForMoreThan15Seconds, Draws the two ends together over the symphysis pubis, compressing the greater trochanters of the femur.=DrawsEndsOfSheetTogetherOverPelvis, Establishes or maintains manual stabilization of head and C-spine.=EstablishesOrMaintainsManualStabilizationOfHeadAndCSpine, Evaluate patient mental status.=EvaluatePatientMentalStatus, Executes the lift. Another rescuer slides the device into place starting at the pt.'s feet. Lower the patient as a unit.=ExecutesTheLift, Explains the commands, procedures, and hand positions for the lift, including distance patient is to be lifted.=ExplainsCommandsProcedures, Exposes and assesses the injury to determine the location and proximity to hip or knee joint; checks for bleeding and treats bleeding if present.=ExposesAndAssessesTheInjuryToDetermineTheLocationAndProximityToHipOrKneeJoint, Exposes and inspects injury to identify level of emergency and formulate treatment plan.=ExposesAndInspectsInjuryToIdentifyLevelOfEmergencyAndFormulateTreatmentPlan, Exposes injury to access and manage the ABCDs=ExposesInjuryToAccessAndManageTheABCDs, Exposes the chest=ExposesTheChest, Exposes the wound site.=ExposesTheWoundSite, Exposes/visualizes injured area to determine that a figure eight is appropriate.=ExposesVisualizesInjuredAreaToDetermineThatAFigureEightIsAppropriate, Extremity is splinted and stabilized with minimal movement=ExtremityIsSplintedAndStabilizedWithMinimalMovement, Folds a sheet lengthwise 12-18" wide and places it on a backboard where the pelvis will be positioned.=FoldsSheetLengthwise, Forms a tight blanket roll.=FormsATightBlanketRoll, Forms general impression—evaluates any extrication issues for each patient(s); considers c-spine stabilization/immobilization.=FormsGeneralImpression, Gently advance the airway. If using the left nare, insert the nasopharyngeal airway until resistance is met. Then rotate the nasopharyngeal airway 180 into position. This rotation is not required if using the right nostril.=GentlyAdvanceTheAirway, Gently moves the patient’s head so that the eyes are looking forward; the patient’s nose and chin are aligned with the sternum.=GentlyMovesThePatientSHead, Gloves should be turned inside out, with the second glove serving as a container for the first glove.=GlovesInsideOut, Using Dominant hand, grasp exterial or the opposite glove at the wrist, ensuring that you do not contaminate you skin.=GraspExteriorOfGlove, Hold the adjunct against the side of the face with the flange adjacent to the corner of the patient’s mouth. Size the airway by measuring from the patient’s earlobe to the corner of the mouth or from the corner of the mouth to the angle of the jaw.=HoldTheAdjunctAgainstTheSideOfTheFace, Identifies substance=IdentifiesSubstance, Identifies the number of patient(s) and the LOR of each.=IdentifiesTheNumberOfPatientSAndTheLOROfEach, Identifies the severity of the bleeding=IdentifiesTheSeverityOfTheBleeding, If SEVERE signs/symptoms exists– Administers 3 atropine & 3 2-PAM CL injections in rapid succession.=IfSEVERESignsSymptomsExists, If bleeding continues, remove dressing and apply a hemostatic bandage. (if authorized)=IfBleedingContinues, If bleeding continues despite direct pressure and hemostatic bandage, verbalizes application of a tourniquet and mark forehead.=IfBleedingContinuesDespiteDirectPressure, If necessary, realigns/recenters the patient on the board using axial movements.=IfNecessaryRealignsRecentersThePatientOnTheBoardUsingAxialMovements, If nerve gas is suspected, obtains nerve gas antidote kit.=IfNerveGasIsSuspectedObtainsNerveGasAntidoteKit, If pt. has suspected spinal injury, then do not use this lifting technique.=IfSuspectedSpinalInjury, Initiates Standard Precautions=InitiatesStandardPrecautions, Insert the lubricated airway into the larger nostril with the curvature following the floor of the nose. If you are using the right nare, the bevel should face the septum. If using the left nare, insert the airway with the tip of the airway pointing upward, which will allow the bevel to face the septum.=InsertTheLubricatedAirwayIntoTheLargerNostril, Inspect the tank, regulator, and O ring or washer for any visible damage.=InspectTheTankRegulatorAndORingOrWasherForAnyVisibleDamage, Introduces self, obtains permission to help/treat.=IntroduceSelf, Keeps the patient's knees slightly flexed, and pads under the legs/knees with a rolled-up blanket.=KeepsPatientSKneesFlexed, Kneels beside or above the patient’s heads.=KneelsBesideOrAboveThePatientSHeads, Loads patient onto long spine board=LoadsPatientOntoLongSpineBoard, Log rolls patient on to backboard maintaining spinal alighment; positions patient so that the buttocks are positioned on the sheet 1-2" above the top of the iliac creast.=LogRollsPatientOnToBackboard, Looks for chest rise and fall (On unresponsive patient, places hand on patient’s chest or listen at mouth for respirations).=LooksForChestRiseAndFall, Lowers the patient into a supine position on the long board, securing the patient and the short board to the long board in the usual fashion.=LowersThePatientIntoASupinePositionOnTheLongBoard, Maintains airway, uses BVM or suction if needed. Monitor vitals=MaintainsAirwayUsesBVMOrSuctionIfNeededMonitorVitals, Maintains direct pressure; applies additional dressing if needed=MaintainsDirectPressureAppliesAdditionalDressingIfNeeded, Maintains spinal alignment=MaintainsSpinalAlignment, Maintains spinal immobilization if applicable.=MaintainsSpinalImmobilizationIfApplicable, Make sure the suctioning unit is properly assembled and turn on the unit if using a power system.=MakeSureTheSuctioningUnitIsProperlyAssembledAndTurnOnTheUnitIfUsingAPowerSystem, Manages/treats life threats.=ManagesTreatsLifeThreats, Manually stabilizes the head/cervical spine, kneeling next to the patient; establishes in-line stabilization.=ManuallyStabilizesTheHeadCervicalSpine, Measures and applies a C-collar per local protocol=MeasuresAndAppliesACCollarPerLocalProtocol, Measures patient for C-collar per manufacturer’s recommendations.=MeasuresPatientForCCollarPerManufacturerSRecommendations, Minimizes further exposure=MinimizesFurtherExposure, Moves the patient to a long board by placing the long board next to the patient’s buttocks; lifts the patient onto the long board, maintaining C-spine stabilization.=MovesThePatientToALongBoard, Moving as a unit and maintaining spinal stabilization, the rescuers lower the patient to the ground.=MovingAsAUnitAndMaintainingSpinalStabilizationTheRescuersLowerThePatientToTheGround, Observes patient for excessive salivation (pneumonic SLUDGE - DUMBELS)=ObservesPatientForExcessiveSalivation, Obtains SAMPLE history from patient and/or witness (if available).=ObtainsSAMPLEHistoryFromPatientAndOrWitnessIfAvailable, Obtains SAMPLE history=ObtainsSAMPLEHistory, Obtains baseline set of vitals.=ObtainsBaselineSetOfVitals, Open the O2 system by turning the valve stem on top of the cylinder or using the wrench, counterclockwise=OpenTheOSub2SubSystemByTurningTheValveStemOnTopOfTheCylinderOrUsingTheWrenchCounterclockwise, Open the patient’s mouth and insert the catheter only as far as you can see.=OpenThePatientSMouthAndInsertTheCatheterOnlyAsFarAsYouCanSee, Open the patient’s mouth with the cross-finger technique. Hold the airway upside down with your other hand. Insert the airway with the tip facing the roof of the mouth and slide it in until it is half way into the mouth.=OpenThePatientSMouthWithTheCrossFingerTechnique, Opens coat or shirt and removes any bulky clothing around neck/shoulder area.=OpensCoatOrShirtAndRemovesAnyBulkyClothingAroundNeckShoulderArea, Palpates entire chest checking for tenderness/deformities=PalpatesEntireChest, Peel the glove off of you hand, turning it inside out as you remove it.=PealSecondGloveOff, Performs detailed head-to-toe body assessment physical exam DCAPBTLS.=PerformsDetailedHeadToToeBodyAssessmentPhysicalExamDCAPBTLS, Placed ungloved fingers inside the cuff of the gloved hand, making sure you do not touch exterior of gloved hand.=PlaceFingersInsideSecondGlove, Place the removed glove in the palm of your gloved dominant hand.=PlaceRemovedGloveInDominantHand, Places blanket on flat surface, sizing the roll by folding the blanket to fit the size needed.=PlacesBlanketOnFlatSurfaceSizingTheRollByFoldingTheBlanketToFitTheSizeNeeded, Places four cravats crosswise on one end of folded blanket; rolls blanket firmly, including cravats.=PlacesFourCravatsCrosswiseOnOneEndOfFoldedBlanketRollsBlanketFirmlyIncludingCravats, Places one cravat around each shoulder (over and under the armpit); ensures thatthe cravat is not directly over the fracture site and that front of cravat has wide band.=PlacesOneCravatAroundEachShoulder, Places patient in a sitting position.=PlacesPatientInASittingPosition, Places patient in supine position, with blanket roll under shoulder blades.=PlacesPatientInSupinePositionWithBlanketRollUnderShoulderBlades, Places board behind the patient’s back, aligning the top of the device with the top of the patient’s head.=PlacesBoardBehindThePatientSBack, Places hands on either side of the patient’s head with the palms adjacent to the ears, the fingers supporting the jaw and the back of the head.=PlacesHandsOnEitherSideOfThePatientSHead, Positions rolled blanket and cravats snugly in the axilla (armpit) of the dislocated shoulder.=PositionsRolledBlanketAndCravatsSnuglyInTheAxillaArmpitOfTheDislocatedShoulder, Positions hands underneath the patient to lift at points of body mass (shoulders, kips). Rescuer at head directs lift.=PositionsHandsUnderneathPatient, Position the lifters and have them form a bridge over the patient, head-to-shoulder, shoulder-to-shoulder.=PositionsTheLifters, Pre-oxygenate patient prior to suctioning.=PreOxygenatePatientPriorToSuctioning, Prepares and applies splint, keeping movement of injured extremity to a minimum.=PreparesAndAppliesSplintKeepingMovementOfInjuredExtremityToAMinimum, Prepares and position all of the equipment needed.=PreparesAndPositionAllOfTheEquipmentNeeded, Prepares patient for transport=PreparesPatientForTransport, Prepares patient for transport, activates EMS.=PreparesPatientForTransportActivatesEMS, Primary Assessment=PrimaryAssessment, Provides any necessary interventions related to airway/breathing=ProvidesAnyNecessaryInterventionsRelatedToAirwayBreathing, Provides interventions per protocols.=ProvidesInterventionsPerProtocols, Provides oxygen/treat for shock if appropriate=ProvidesOxygenTreatForShockIfAppropriate, Gently pulls the ends of the sheet tight.=PullsEndsOfSheetTightOverPelvis, Re-evaluates patient, monitor vitals.=ReEvaluatesPatientMonitorVitals, Readjusts occlusive dressing tape according to local protocol.=ReadjustsOcclusiveDressingTape, Reassesses CMS=ReassessesCMS, Reassesses CMS after splint is applied.=ReassessesCMSAfterSplintIsApplied, Reassesses CMS in each extremity.=ReassessesCMSInEachExtremity, Reassesses vital signs and primary assessment=ReassessesVitalSignsAndPrimaryAssessment, Remove regulator from tank=RemoveRegulatorFromTank, Removes boot/shoe per local protocol.=RemovesBootShoePerLocalProtocol, Rescuer #1 applies traction to the wrist on affected side by pulling arm out and downward toward ground.=Rescuer1AppliesTractionToTheWristOnAffectedSideByPullingArmOutAndDownwardTowardGround, Rescuer #2 simultaneously places counter-traction on the other side of body by pulling on cravat tied around upper chest.=Rescuer2SimultaneouslyPlacesCounterTractionOnTheOtherSideOfBodyByPullingOnCravatTiedAroundUpperChest, Rescuer #1 continues to gently remove the helmet.=Rescuer1ContinuesToGentlyRemoveTheHelmet, Rescuer #1 directs other rescuers in lowering the patient onto the backboard as a unit.=Rescuer1DirectsOtherRescuersInLoweringThePatientOntoTheBackboardAsAUnit, Rescuer #1 directs the roll, ensuring that all rescuers are ready to roll the patient toward them as a unit.=Rescuer1DirectsTheRoll, Rescuer #1 grasps the helmet straps and pulls apart, spreading the helmet.=Rescuer1GraspsTheHelmetStrapsAndPullsApartSpreadingTheHelmet, Rescuer #1 kneels above patient’s head and takes/maintains spinal stabilization.=Rescuer1KneelsAbovePatientSHeadAndTakesMaintainsSpinalStabilization, Rescuer #1 manually stabilizes head/C-spine by placing hands on either side of the helmet.=Rescuer1ManuallyStabilizesHeadCSpineByPlacingHandsOnEitherSideOfTheHelmet, Rescuer #1 manually stabilizes the fracture site above and below the injury.=Rescuer1ManuallyStabilizesTheFractureSiteAboveAndBelowTheInjury, Rescuer #1 pulls the helmet axially from the patient’s head with forward rotation of the helmet.=Rescuer1PullsTheHelmetAxiallyFromThePatientSHeadWithForwardRotationOfTheHelmet, Rescuer #1 stabilizes injured area of leg/ankle by placing one hand on front of ankle and one hand on back of the ankle, holding this position firmly as the boot is removed.=Rescuer1StabilizesInjuredAreaOfLegAnkle, Rescuer #1 stabilizes the boot to be removed.=Rescuer1StabilizesTheBootToBeRemoved, Rescuer #1 stands beside or behind the patient; manually stabilizes the patient’s head/C-spine.=Rescuer1StandsBesideOrBehindThePatientManuallyStabilizesThePatientSHeadCSpine, Rescuer #2 assesses CMS, kneels beside the patient’s shoulder/upper chest, and grasps the patient’s shoulder/hip.=Rescuer2AssessesCMS, Rescuer #2 checks CMS in each extremity; sizes and correctly applies cervical collar.=Rescuer2ChecksCMSInEachExtremitySizesAndCorrectlyAppliesCervicalCollar, Rescuer #2 ensures that the patient is centered on the backboard; if needed, the patient is recentered on the board using axial movements.=Rescuer2EnsuresThatThePatientIsCenteredOnTheBackboard, Rescuer #2 firmly grasps ankle hitch with one hand and places other hand under the calf and moves the injured leg in a coordinated fashion with Rescuer #1 to straighten leg into anatomical alignment using manual traction; maintains traction as Rescuer #1 releases manual stabilization.=Rescuer2FirmlyGraspsAnkleHitchWithOneHand, Rescuer #2 gently removes boot by sliding heel away from foot, followed by the toe portion; monitors patient for indications of excessive pain; stops or modifies procedures as appropriate.=Rescuer2GentlyRemovesBootBySlidingHeelAwayFromFoot, Rescuer #2 opens/removes the face shield or goggles.=Rescuer2OpensRemovesTheFaceShieldOrGoggles, Rescuer #2 removes ski or snowboard if present and then applies the ankle hitch.=Rescuer2RemovesSkiOrSnowboardIfPresentAndThenAppliesTheAnkleHitch, Rescuer #2 removes the chin strap and places one hand at the patient’s occiput (base of helmet) and the other at the patient’s chin to ensure head/C-spine immobilization.=Rescuer2RemovesTheChinStrapAndPlacesOneHandAtThePatientSOcciput, Rescuer #2 slides backboard into position, tilting the backboard, and then palpates the patient’s spine for any injuries.=Rescuer2SlidesBackboardIntoPosition, Rescuer #2 slides the fingers up to the patient’s occiput, ensuring no loss of stabilization.=Rescuer2SlidesTheFingersUpToThePatientSOcciputEnsuringNoLossOfStabilization, Rescuer #2 spreads the boot open.=Rescuer2SpreadsTheBootOpen, Rescuer #2 stabilizes the boot/shoe or the ski/snowboard if the equipment is still in place.=Rescuer2StabilizesTheBootShoeOrTheSkiSnowboardIfTheEquipmentIsStillInPlace, Rescuer #2 unbuckles/unlaces the boot completely.=Rescuer2UnbucklesUnlacesTheBootCompletely, Rescuer #3 assesses CMS.=Rescuer3AssessesCMS, Rescuer #3 connects ankle strap if needed and turns crank/knob, gradually replacing manual traction with mechanical traction.=Rescuer3ConnectsAnkleStrapIfNeededAndTurnsCrankKnob, Rescuer #3 positions backboard beside the patient and kneels at the patient’s hips; grasps the patient’s hips, overlapping hands with Rescuer #2 and above the knee.=Rescuer3PositionsBackboardBesideThePatient, Rescuer #3 positions the splint according to manufacturer’s directions and secures the groin strap around upper thigh.=Rescuer3PositionsTheSplintAccordingToManufacturerSDirectionsAndSecuresTheGroinStrapAroundUpperThigh, Rescuer #3 prepares and positions backboard behind the patient.=Rescuer3PreparesAndPositionsBackboardBehindThePatient, Rescuer #3 prepares traction splint and adjusts to proper size according to manufacturer’s instructions; rescuer uses uninjured leg to measure splint.=Rescuer3PreparesTractionSplint, Rescuer #4 kneels beside the patient’s knee/lower leg; grasps the patient’s upper thigh, overlapping with Rescuer #3.=Rescuer4KneelsBesideThePatientSKneeLowerLeg, Rescuers #2 and #3 stand next to the patient, one on either side; Rescuer #2 stands on the right side of the patient, places one hand on the patient’s elbow and the other under the patient’s armpit and grasps the backboard slot above the patient’s shoulder. Rescuer #3 does the same on the other side of the patient.=Rescuers2And3StandNextToThePatientOneOnEitherSide, Rescuers #2, #3, and #4 kneel along one side of the patient.=Rescuers23And4KneelAlongOneSideOfThePatient, Rescuers exchange immobilization without loss of stabilization.=RescuersExchangeImmobilizationWithoutLossOfStabilization, Rescuers secure Velcro support straps or cravats.=RescuersSecureVelcroSupportStrapsOrCravats, Rotate the airway 180°. Insert the airway until the flange rests on the patient’s lips.=RotateTheAirway180, Rotates extremity if necessary and as tolerated by patient=RotatesExtremityIfNecessaryAndAsToleratedByPatient, Scene Size-up=SceneSizeUp, Secondary Assessment=SecondaryAssessment, Secure the bottle from falling.=SecureTheBottleFromFalling, Secures second cravat around the patient’s waist.=SecuresSecondCravatAroundThePatientSWaist, Secures the object with the appropriate materials covering both eyes.=SecuresTheObjectWithTheAppropriateMaterialsCoveringBothEyes, Secures patient to a backboard.=SecuresPatientToABackboard, Secures the C-collar using Velcro closures, ensuring a proper fit.=SecuresTheCCollarUsingVelcroClosuresEnsuringAProperFit, Secures the patient on the backboard in the usual method.=SecuresThePatientOnTheBackboardInTheUsualMethod, Secures the patient to the backboard, ensuring that the backboard straps do not go over or put stress on the injured area.=SecuresThePatientToTheBackboard, Secures the patient's knees and ankles with cravats, padding any voids.=SecuresThePatientSKneesAndAnklesWithCravatsPaddingAnyVoids, Set the regulator to the proper flow based on the delivery device.=SetTheRegulatorToTheProperFlowBasedOnTheDeliveryDevice, Size the airway. Place the flange against the nostril, and the end should touch the patient’s lower earlobe. Coat the tip and the entire length with a water-based lubricant.=SizeTheAirway, Sizes splint properly; padding as needed and positions splint=SizesSplintProperlyPaddingAsNeededAndPositionsSplint, Sizes splint properly; uses pads as needed and positions splint.=SizesSplintProperlyUsesPadsAsNeededAndPositionsSplint, Slides posterior neck portion of the collar behind the patient’s neck.=SlidesPosteriorNeckPortionOfTheCollarBehindThePatientSNeck, Sling and swathe correctly applied and restricts movement of injured extremity=SlingAndSwatheCorrectlyAppliedAndRestrictsMovementOfInjuredExtremity, Splints and stabilizes extremity with minimal movement.=SplintsAndStabilizesExtremityWithMinimalMovement, Stabilizes hand and forearm on the blanket with the remaining two cravats.=StabilizesHandAndForearmOnTheBlanketWithTheRemainingTwoCravats, Stabilizes the cervical region in a neutral, in-line position. (Aligns patient axially.)=StabilizesTheCervicalRegionInANeutralInLinePositionAlignsPatientAxially, Stabilizes the cervical spine if injury is trauma induced.=StabilizesTheCervicalSpineIfInjuryIsTraumaInduced, Starting at the wrist, fold glove over and peel it back, turning it inside out as you remove the glove.=FoldGloveInsideOut, Swings the chin portion of the C-collar up the patient’s chest until it cups the chin.=SwingsTheChinPortionOfTheCCollarUpThePatientSChestUntilItCupsTheChin, Technician chooses the correct device/material for splinting/stabilization=TechnicianChoosesTheCorrectDeviceMaterialForSplintingStabilization, Ties cravats with square knots, ensuring that the shoulders are in normal position.=TiesCravatsWithSquareKnotsEnsuringThatTheShouldersAreInNormalPosition, Ties wide cravat around upper chest, under armpits.=TiesWideCravatAroundUpperChestUnderArmpits, Ties the two ends using an overhand knot, or wraps the two sheets ends around each other before securing the ends with one or two nylon cable ties.=TiesSheetInOverhandKnot, Tightens cravats so that the position of the shoulders is the same as if the patientwere sitting normally (shoulders should not be pulled all the way back).=TightensCravatsSoThatThePositionOfTheShouldersIsTheSameAsIfThePatientwereSittingNormally, Transports patient and transfers to EMS personnel.=TransportsPatientAndTransfersToEMSPersonnel, Treats for shock and maintains body temperature=TreatsForShockAndMaintainsBodyTemperature, Treats for shock as indicated=TreatsForShockAsIndicated, Treats for shock.=TreatsForShock, Treats for shock/provides oxygen.=TreatsForShockProvidesOxygen, Using an oxygen wrench or valve stem on the top of the cylinder, turn the valve counterclockwise to slowly "crack" the cylinder for 1 second.=UsingAnOxygenWrenchOrValveStem, While helper holds blanket roll in place, ties one set of cravats over the opposite shoulder around the neck.=WhileHelperHoldsBlanketRollInPlaceTiesOneSetOfCravatsOverTheOppositeShoulderAroundTheNeck | List of skills included in guide | |||
| Script | natedit | 70x10 | Commonly used phrases, suggestions | ||||
| Related | text | 75 | Related procedures, scenarios, etc | ||||
| Chapter | text | 10 | Chapter where guide is presented | ||||
| Page | text | 10 | Page in OEC text where guide is presented | ||||
| Tag | tag | 30 | keywords for this topic | c | |||
| Category | cat | 1 | categories this topic is field to | SkillGuideCategory |
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