FOOTHILL COLLEGE
SAGER SPLINT Candidate Name: _________________________________________ Date: ______________________
Examiner Name and Signature: _________________________________________________________
Time Started: __________ Time Ended: __________ Points: _____/13 PASS/FAIL (Circle One)
| Points Possible | Points Awarded | |
| Directs application of manual stabilization of injured leg | 1 | |
| Exposes extremity and removes shoe and sock | 1 | |
| Directs application of manual traction (must be applied before elevating leg if necessary) | 1 | |
| Assesses motor, sensory, and distal circulation in the injured extremity | 1 | |
| Adjusts splint to proper length | 1 | |
| Positions splint between patients legs, cushion against gorin and secures groin strap. | 1 | |
| Secures ankle hitch properly | 1 | |
| Extends the splint, providing approximately 10% of the patient’s body weight in traction. (Max 15 pounds for single leg or 30 pounds bilateral). | 1 | |
| Positions/secures support straps | 1 | |
| Re-evaluates proximal/distal securing devices | 1 | |
| Reassesses motor, sensory, and circulatory functions in injured extremity | 1 | |
| Secures patient to long backboard to immobilize hip | 1 | |
| Secures splint/legs to long backboard to prevent movement | 1 |
Points Possible: 13 Total Points Awarded_______________
Critical Criteria
____ Loss of traction at any point after it is assumed
____ Failure to apply manual traction before evaluating leg
____ Did not reassess motor, sensory, and circulatory functions in injured extremity
____ Foot is excessively rotates or extended after splinting
____ Final immobilization failed to support leg or prevent rotation of injury
Notes: ____________________________________________________________________________________________
__________________________________________________________________________________________________