1.The patient's head and shoulders should be grasped by the practitionerwho is positioned at the head of the bed, ensuring that the spine is aligned with the head.
2. An assistant should apply a cervical collar without lifting the head off the bed and the alignment of the spine maintained.
3. To roll the patient, one or two assistants should place their hands on the opposite side of the patient, positioned at the shoulder, hip and knee.
4. The individual at the head of the bed should maintain the spinal alignment.When the practitioners are positioned and ready to roll the patient, the individual maintaining spine alignment should count to three to at which time the assistant(s) should roll the patient toward themselves. Another assistant
should quickly assess the back of the patient and place the backboard under. When the blackboard is secured, the patient will be rolled back onto the blackboard.
5. The patient should be positioned at the center of the board while still maintaining cervical alignment.
6. The practitioner should first secure the upper torso with straps.
7. The chest, pelvis, and upper legs are secured with straps as well.
8. The patient’s head should be secured with immobilization devices such as a rolled towel or commercial immobilization foam.
9. A tape is applied to the patient's forehead to secure.
10. Ensure that all straps are secured and fasten, re-adjust as necessary.