Please always refer to the current Cleveland Clinic Akron General Policies PPM_page (agmc.org) and Procedures Points on Practice, Policy & Procedure (P4) (agmc.org)
Aspen Collar
-To adjust the chin piece, pull out the yellow tab and twist. That will raise and lower the chin piece to better support the patient
-located in central supply
-Typically placed by ortho/neurosurgery and remains on during hospital stay
https://youtu.be/jgxv4L9CZbg (1:40-2:45)
Off the shelf TLSO
-used when patient has a thoracic or upper lumbar fracture
-should be on when the patient is out of bed
https://www.youtube.com/watch?v=cnl1FBVq8Os
(38s-2:08)
Miami J
-typically used for longer term than the aspen collar
-Yanke bionics will place this brace on the patient
Molded/Custom TLSO
-Yanke will come measure the patient and custom mold the brace for the patient
-needs to be donned before sitting patient up at EOB
-used for more unstable fractures
-typically needs to be on if the patient is above 30 degrees
https://www.youtube.com/watch?v=e2QDtR0lDjw
(40s-3:40)
LSO
-used after lumbar fusion or if patient has lumbar fracture
-should be on when the patient is out of bed
(40s-1:40)
Jewett/Ace Brace
-is used to avoid flexion of the spine
-can be donned at EOB
To donn:
Wrap the free end of the strap around the back and feed it through the side-pad slot. Feed the strap through the roller ring at the front of the brace. Pull th strap until you feel resistance from the seam, then Velcro securely so the strap is snug around the patient