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Critical failure criteria include improper head stabilization or collar application, premature release, excessive manipulation, insufficient device security, non-neutral head alignment, inadequate post-immobilization reassessment, and unsafe or inappropriate 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Examination  \nSPINAL IMMOBILIZATION (SUPINE PATIENT)  \nCandidate:   Examiner:   Date:   Signature:    \nActual Time Started:  \n__________  \nPossible  \nPoints  \nPoints Awarded  \n\n| Takes or verbalizes appropriate PPE precautions | 1 |  |\n| --- | --- | --- |\n| Directs assistant to place/maintain head in the neutral, in-line position | 1 |  |\n| Directs assistant to maintain manual stabilization of the head | 1 |  |\n| Reassesses motor, sensory and circulatory function in each extremity | 1 |  |\n| Applies appropriately sized extrication collar | 1 |  |\n| Positions the immobilization device appropriately | 1 |  |\n| Directs movement of the patient onto the device without compromising the integrity of the spine | 1 |  |\n| Applies padding to void between the torso and the device as necessary | 1 |  |\n| Immobilizes the patient’s torso to the device | 1 |  |\n| Evaluates and pads behind the patient’s head as necessary | 1 |  |\n| Immobilizes the patient’s head to the device | 1 |  |\n| Secures the patient’s legs to the device | 1 |  |\n| Secures the patient’s arms to the device | 1 |  |\n| Reassesses motor, sensory and circulatory function in each extremity | 1 |  |\n| Actual Time Ended:   TOTAL 14 |  |  |\n\nCRITICAL CRITERIA  \n  Failure to immediately direct or take manual stabilization of the head  \n  Failure to properly apply appropriately sized cervical collar before ordering release of manual stabilization   Released or ordered release of manual stabilization before it was maintained mechanically   Manipulated or moved the patient excessively causing potential spinal compromise  \n  Head immobilized to the device before device sufficiently secured to the torso  \n  Patient moves excessively up, down, left or right on the device   Head immobilization allows for excessive movement  \n  Upon completion of immobilization, head is not in a neutral, in-line position  \n  Failure to reassess motor, sensory and circulatory functions in each extremity after immobilizing patient to the device   Failure to manage the patient as a competent EMT  \n  Exhibits unacceptable affect with patient or other personnel   Uses or orders a dangerous or inappropriate intervention  \nYou must factually document your rationale for checking any of the above critical items on the reverse side of this form.  \n© 2016 by the National Registry of Emergency Medical Technicians, Inc., Columbus, OH  \nAll materials subject to this copyright may be photocopied for the non-commercial purpose of educational or scientific advancement. e212/10-16","cbCaiq0UtQh8F0So","https://ap.wps.com/l/cbCaiq0UtQh8F0So","pdf",267470,"English","# Psychomotor Examination Checklist\n## Procedural Steps (Scored)\n## Critical Failure Criteria","[{\"question\":\"What must be documented after checking critical criteria?\",\"answer\":\"The form requires the candidate/examiner to factually document the rationale for checking any of the critical items on the reverse side of the form.\"}]","Spinal Immobilization (Supine Patient) - Psychomotor Examination | PDF",1790210419]