Sizing and application of a soft collar to be attended by: This would usually be done on the ward but may also need to be attended to in the Emergency Department.
MIAMI J LINE SKIN
Appropriately trained nursing staff to perform a thorough skin inspection and ensure hygiene and skin integrity are maintained.A trained Orthotist after a referral for a collar revision has been completedĬhanging of a Miami J collar (without changing the size of the collar) is to be attended by:.Subsequent re-sizing of the Miami J collar is to be attended by: A trained Orthotist after a referral for a collar has been completed.Appropriately trained Emergency Department Medical and Nursing Staff.Initial sizing and application of the Miami J collar (+/- removal of the transport immobilisation device) is to be attended only by: The initial care of a patient with an actual or potential spinal injury is to stabilise the spine and prevent further neurological injury by maintaining neutral alignment of the vertebrae. Indicationsįull spinal precautions are implemented for patients with a suspected spinal injury until further orders are documented in the progress notes by the appropriate medical staff.
The application and removal of the Miami J collar (or other immobilising orthotic device) has the potential to render the cervical spine unstable and as such should only be performed by appropriately trained staff as per the guidelines set out below.
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