DA Form 7595-5-8 "Apply a Long Spine Board"

What Is DA Form 7595-5-8?

This is a military form that was released by the U.S. Department of the Army (DA) on March 1, 2014. The form, often mistakenly referred to as the DD Form 7595-5-8, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DA.

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  • A 1-page document available for download in PDF;
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Download an up-to-date fillable DA Form 7595-5-8 down below in PDF format or browse hundreds of other DA Forms stored in our online database.

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Download DA Form 7595-5-8 "Apply a Long Spine Board"

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APPLY A LONG SPINE BOARD
For use of this form see TC 8-800; the proponent agency is TRADOC.
V
TABLE:
REFERENCE:
STP 8-68W13-SM-TG, Task 081-833-0181, Apply a Long Spine Board
PRIVACY ACT STATEMENT
AUTHORITY:
10 U.S.C. S 3013 Secretary of the Army; AR 350-1, Army Training Leadership and Development.
S
PRINCIPAL PURPOSE:
To ensure that accomplishment of training is properly credited to the correct individual for NREMT certification
IAW AR 40-68, AR 220-1 and AR 350-1.
Used by Unit personnel to monitor training. The DOD "Blanket Routine uses" set forth at the beginning of the
ROUTINE USES:
A rmy's compilation of system of records notices may apply to this system.
DISCLOSURE:
Voluntary. Failure to provide your name may result in a loss of credit for accomplishing the training or error in
processing applicable favorable personnel actions. For Official Use Only.
1. Soldier (Last Name, First Name, MI)
2. Date (YYYYMMDD)
SCENARIO:
A n infantryman moving through a built-up area has the point on a combat patrol. An artillery round impacts approximately 25 meters from where he was
standing and he was thrown against a stone wall. You are an evacuation aidman driving a HMMWV ambulance. The area has been secured and the
platoon's Soldier Medic has stabilized the patient. You must fully immobilize the patient on a long spine board for transport; you have been provided the
necessary medical equipment.
GRADING SHEET
TASK
COMPLETED
1ST
2ND
3RD
3. Performance Measures
P
F
P
F
P
F
a. Checked for signs and symptoms of a spinal injury.
b. Placed the patient on a long spine board.
c. Secured the patient to the long spine board.
d. Documented treatment on DD Form 1380 [Tactical Combat Casualty Care (TCCC) Card].
e. Evacuated the patient.
Yes
4. Demonstrated Proficiency
No
5. Start Time
6. Stop Time
7. Initial Evaluator
8. Start Time
9. Stop Time
10. Retest Evaluator
11. Start Time
12. Stop Time
13. Final Evaluator
14. Evaluator's Comments
This form was prepared by U.S. Government employees for use in the 68W MOS. Although it contains, in part, copyrighted material from National
Registry of Emergency Medical Technicians, Inc.
(NREMT),
skill sheets ©2011, this form has neither been prepared nor approved by NREMT. Use is
restricted to guidelines contained in the Preface to TC 8-800.
Supersedes DA FORM 7595-15-R, MAY 2009
DA FORM 7595-5-8, MAR 2014
APD LC v1.00
APPLY A LONG SPINE BOARD
For use of this form see TC 8-800; the proponent agency is TRADOC.
V
TABLE:
REFERENCE:
STP 8-68W13-SM-TG, Task 081-833-0181, Apply a Long Spine Board
PRIVACY ACT STATEMENT
AUTHORITY:
10 U.S.C. S 3013 Secretary of the Army; AR 350-1, Army Training Leadership and Development.
S
PRINCIPAL PURPOSE:
To ensure that accomplishment of training is properly credited to the correct individual for NREMT certification
IAW AR 40-68, AR 220-1 and AR 350-1.
Used by Unit personnel to monitor training. The DOD "Blanket Routine uses" set forth at the beginning of the
ROUTINE USES:
A rmy's compilation of system of records notices may apply to this system.
DISCLOSURE:
Voluntary. Failure to provide your name may result in a loss of credit for accomplishing the training or error in
processing applicable favorable personnel actions. For Official Use Only.
1. Soldier (Last Name, First Name, MI)
2. Date (YYYYMMDD)
SCENARIO:
A n infantryman moving through a built-up area has the point on a combat patrol. An artillery round impacts approximately 25 meters from where he was
standing and he was thrown against a stone wall. You are an evacuation aidman driving a HMMWV ambulance. The area has been secured and the
platoon's Soldier Medic has stabilized the patient. You must fully immobilize the patient on a long spine board for transport; you have been provided the
necessary medical equipment.
GRADING SHEET
TASK
COMPLETED
1ST
2ND
3RD
3. Performance Measures
P
F
P
F
P
F
a. Checked for signs and symptoms of a spinal injury.
b. Placed the patient on a long spine board.
c. Secured the patient to the long spine board.
d. Documented treatment on DD Form 1380 [Tactical Combat Casualty Care (TCCC) Card].
e. Evacuated the patient.
Yes
4. Demonstrated Proficiency
No
5. Start Time
6. Stop Time
7. Initial Evaluator
8. Start Time
9. Stop Time
10. Retest Evaluator
11. Start Time
12. Stop Time
13. Final Evaluator
14. Evaluator's Comments
This form was prepared by U.S. Government employees for use in the 68W MOS. Although it contains, in part, copyrighted material from National
Registry of Emergency Medical Technicians, Inc.
(NREMT),
skill sheets ©2011, this form has neither been prepared nor approved by NREMT. Use is
restricted to guidelines contained in the Preface to TC 8-800.
Supersedes DA FORM 7595-15-R, MAY 2009
DA FORM 7595-5-8, MAR 2014
APD LC v1.00