EHSSkillSheet-Tractiodgfn Splint(1) Traction Splinting

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TEAM #: _ 

Candidates Name

Lead: _______________________ Assistant: ________________________ 

Date: ________________________ 

Start Time: ___________________ 

Stop Time: ___________________ Points

Possible

Takes, or verbalizes, body substance isolation precautions 1

Directs application of manual stabilization of the injured leg 1

 Assesses PMS in the injured extremity prior to immobilization 1

Note: the Evaluator acknowledges "PMS present and normal"

Prepares/adjusts splint to the proper length 1

 Applies the distal securing device (e.g. ankle hitch) 1

Positions the splint next to the injured leg 1

 Applies manual traction & lifts leg 1

Places splint under leg (maintaining splint in alignment with long axis of body) 1

 Applies the proximal securing device (e.g. ischial strap) 1Connects ankle hitch to the hook 1

 Applies mechanical traction 1

Positions/secures the support straps 1

Re-evaluates the proximal/distal securing devices 1

Reassesses PMS in the injured extremity after immobilization 1

Note: the Evaluator acknowledges "PMS present and normal"

Note: the Evaluator must ask the candidate how he/she would prepare

the patient for transportation

Verbalizes securing the torso to the long board to immobilize the hip 1

Verbalizes securing the splint to the long board to prevent movement of the splint 1

Total: 16

Critical Criteria

 __________ Did not take or verbalize body substance isolation precautions

 __________ Loss of traction at any point after it was applied, manual or mechanical

 __________ Did not assess PMS in the injured extremity before and after splinting

 __________ The foot was excessively rotated or pronated after splint was applied

 __________ Did not secure the ischial strap before applying mechanical traction

 __________ Final immobilization failed to support the femur or prevent rotation of the injured leg

 __________ Secured the leg to the splint before applying mechanical traction

 __________ Failure to manage the patient as a competent EMR

 __________ Exhibits unacceptable affect with patient or other personnel

 __________ Uses or orders a dangerous or inappropriate intervention

Note: If the Sagar splint or the Kendricks Traction Device is used without elevating the patient's leg,application of manual traction is not necessary. The candidate should be awarded one (1) point as if 

manual traction were applied.

Note: If the leg is elevated at all, manual traction must be applied before elevating the leg. The ankle

hitch may be applied before elevating the leg.

You must factually document your rationale for checking any of the critical items on the comment section

Re

PASS

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Minimum passing score: 13 Time allowed: 8 minutes

Total Score: _________ 

Evaluator's comments: _______________________________________________________________________________________ 

 _______________________________________________________________________________________ 

 _______________________________________________________________________________________ 

 _______________________________________________________________________________________ 

 _______________________________________________________________________________________ 

 _______________________________________________________________________________________ 

 _______________________________________________________________________________________ 

 _______________________________________________________________________________________ 

 _______________________________________________________________________________________ 

 _______________________________________________________________________________________ 

Evaluator's name: __________________________________________ 

Evaluator's signature: _______________________________________ 

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  _______ 

Points

 Awarded

est

 / FAIL

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