Splinting

 

Clinical Indications:

 

  • Immobilization of an extremity for transport, either due to suspected fracture, sprain, or injury.
  • Immobilization of an extremity for transport to secure medically necessary devices such as intravenous catheters

 

Procedure:

 

  1. Assess and document pulses, sensation, and motor function prior to placement of the splint. If no pulses are present and a fracture is suspected, consider reduction of the fracture prior to placement of the splint.
  2. Remove all clothing from the extremity.
  3. Select a site to secure the splint both proximal and distal to the area of suspected injury, or the area where the medical device will be placed.
  4. Do not secure the splint directly over the injury or device.
  5. Place the splint and secure with Velcro, straps, or bandage material (e.g., kling, kerlex, cloth bandage, etc.) depending on the splint manufacturer and design.
  6. Document pulses, sensation, and motor function after placement of the splint. If there has been a deterioration in any of these 3 parameters, remove the splint and reassess