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2763 Care and management of a cervical collar - a guide for staff

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If you are caring for a someone who is wearing a cervical collar There are some important checks and procedures that you need to undertake twice every day To ensure that pressure, moisture, heat or dirt are not leading to skin redness or sores. To do this, you need to remove the collar. This also gives you the opportunity to replace moist or dirty pads. Before you start, gather all the supplies you will need. These are soap or wet wipes, washing cloth, towel and clean pads. You also need a competent colleague to hold the patient’s head in position throughout the procedure. Explain the procedure to the patient And tell them that they shouldn't nod or move their head whilst the collar is off. Remove the front of the collar, by releasing the tabs on the side. Your colleague needs to hold the patent’s head whilst keeping the back panel in place. Inspect the skin on the neck, chin, chest, and shoulders. You are looking for any redness or pressure, particularly on bony prominences. Clean and dry the skin. Check the pads and replace any moist and dirty ones. If necessary, clean and dry the plastic and the straps. Once the new pads are fitted, ensure that the foam covers the plastic And isn't twisted or caught up in any way. Replace the front of collar, by placing it so that the chin comes to the front edge of the chin piece. Your colleague should then take hold of the front panel and use that to support the patient. Now remove the back of the collar. Inspect the skin on the head, neck and shoulders for any redness or pressure. Clean and dry the skin. Check the pads and replace any moist and dirty ones. To remove the pad you will need to release the strap. To replace it, affix the pad to the panel using the velcro pads and then feed the strap through the holes, like this. When you refit the collar, the front panel will already be held in place by your colleague. Place the back panel behind the neck; the straps should be located halfway between the ears and the trapezius. Loosely locate the straps on the front panel and make sure that sure you can feel the sternum notch. Hold the side of the tracheal opening again and release the strap on one side. Push the collar back and reapply the strap. Do the same on the other side and repeat the process Until all of the slack has been removed and you have achieved a secure fit. Once you are happy with the fit, carry out these checks: Ask the patient if they can swallow. If the can’t swallow, change the angle of the front panel slightly by lifting it up and re-affixing the strap. This also has the effect of taking of the front panel off the shoulder a bit more. There should be a minimal gap between the bottom of the ear lobes and the top of the collar. If there is a gap, reposition the front collar slightly higher. This will give you the right angle for the collar. Check that you can’t slip your finger down past the mandible on either side The pads should always extend beyond the plastic and there shouldn’t be any plastic touching the skin. Do a final check of the fit and the padding And then ask your patient whether the collar feels firm, but not excessively tight. Once you have a good fit, you can splay the tabs at the bottom of the front panel to reduce the pressure Lastly, ensure that you record the completion of this important task in the patient’s records.

Video Details

Duration: 3 minutes and 30 seconds
Language: English
License: Dotsub - Standard License
Genre: None
Views: 5
Posted by: richardwh on Nov 2, 2015

2763 Care and management of a cervical collar - a guide for staff

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