CA Skills – TRACTION SPLINTING SKILL LAB – Emergency Medical Services University, LLC

Please enable JavaScript in your browser to complete this form.

Student ID:

EMT student ID’s are usually in this format: 123456FT-01. For refresher or skills only, place “CE” in this field.

Note: Validation of a Student ID may take up to 30 seconds to complete. You may continue filling out this form while validation is in progress.

Date:

Actual Time Started:

Military Time Only (example: 1523)

Skills Section

Action

Points Possible

Points Awarded

Selects, checks, and assembles equipment Traction splint with all associated equipment (ankle hitch, straps, etc.)

Point 1

Padding material

Point 2

Splints femur Takes or verbalizes appropriate PPE precautions

Point 3

Directs application of manual stabilization of the injured leg (not necessary when using a unipolar device [Sagar® or similar] that is immediately available)

Point 4

Directs application of manual traction (not necessary when using a unipolar device,

Point 5

Assesses motor, sensory, and distal circulation in the injured extremity

Point 6

Prepares/adjusts the splint to proper length

Point 7

Positions the splint at the injured leg

Point 8

Applies proximal securing device (e.g., ischial strap)

Point 9

Applies distal securing device (e.g., ankle hitch)

Point 10

Applies appropriate mechanical traction

Point 11

Positions/secures support straps

Point 12

Re-evaluates proximal/distal securing devices

Point 13

Reassesses motor, sensory, and circulatory functions in the injured extremity

Point 14

Secures patient to the long backboard to immobilize the hip

Point 15

Secures the traction splint/legs to the long backboard to prevent movement of the splint

Point 16

Affective Accepts evaluation and criticism professionally

Point 17

Shows willingness to learn

Point 18

Interacts with simulated patient and other personnel in professional manner

Point 19

Total Points (Out of 19)

Actual Time Ended:

Military Time Only (example: 1523)

Critical Criteria Section

Critical Criteria

Loss of traction at any point after it is assumed or applies inadequate traction
Failure to apply manual traction before elevating the leg
Did not reassess motor, sensory, and circulatory functions in the injured extremity after splinting
The foot is excessively rotated or extended after splinting
Final immobilization failed to support the femur or prevent rotation of the injured leg

Notes

Administrative Section

Note: EMT Student Candidate Name (Not Refresher) will populate automatically below. If the name has not been populated or the name is incorrect, contact customer service to get the correct STUDENT ID NUMBER.

Candidate:

First

Last

Examiner:

First

Last

Instructor State

Exam Location:

Instructor Certification Number:

Attempt 1 Result

Attempt 2 Result

Attempt 3 Result

Instructor Signature

Clear Signature

Point Signature 18

By clicking the submit button below, I hereby agree to make an electronic copy of the form contained here.

EMS University

Note: Validation of a Student ID may take up to 30 seconds to complete. You may continue filling out this form while validation is in progress.

Skills Section

Critical Criteria Section

Administrative Section

Helpful guidance on your EMT Training...