Page 30 - JSOM Winter 2023

APPENDIX A.
APPLIER INSTRUCTIONS AND APPLIER TRAINER INSTRUCTIONS

Applier Instructions 20) Ready yourself for the next tourniquet application (kneel
on the mat with your hands on your thighs).
Tourniquet applications are not a race and are not a compe-
tition. Simply do your best to be quickly correct with each of
your tourniquet applications. Tourniquet applications are not a race and are not a compe-
tition. Simply do your best to be quickly correct with each of
your tourniquet applications.
Pass the “I don’t have any COVID symptoms” verbal quiz.

1) Enter the research training room. Applier Trainer Instructions
2) Wash your hands.
3) Sign the informed consent form. 1) Meet the Applier in the Olin lobby.
4) Watch the general tourniquet use video. You can use 2) Bring the Applier to outside the research training room
pause, and you can rewatch any portions of the video. (back of the anatomy lab, room adjacent to the tourni-
You can take notes. quets application room).
5) Answer the post-video questions. 3) Ask the Applier the COVID-19 symptoms questions.
6) Watch the eight individual tourniquet application videos 4) Enter the research training room.
in the assigned order. You can use pause, and you can re- 5) Have the Applier wash his/her hands in the research train-
watch any portions of any of the videos so long as you ing room.
stay in sequence order (in other words, once you have 6) Help the Applier with the informed consent form and sign
moved to the next video, you can’t go back). as the witness to the Applier’s consent.
7) Go to the tourniquets application room. 7) Present the Applier with the Applier Instructions and
8) Wash and thoroughly dry hands. make sure the Applier takes his/her time reading all the
9) Go to the “apply tourniquets” location. Applier Instructions. Let the Applier know that he/she can
10) Kneel on the mat beside the indicated Recipient leg. reread any of the Applier Instructions at any time.
11) Keep your hands on your thighs until the Director says 8) Help the Applier as needed with watching the general
“Go.” tourniquet use video. Make sure the Applier knows he/
12) Let the Director know if you are or are not ready when she can use pause and can re-watch any portions of the
he/she asks. video. Also make sure the applier knows he/she can take
13) When the Director says “Go,” pick up and apply the tour- notes on the blank sheet of paper that is the back of the
niquet because the time for applying that tourniquet has questions sheet.
started (so make sure you let the Director know if you 9) When the Applier has finished watching the general tour-
are not ready). You will have a maximum of 5 minutes to niquet training video, close the video player and have the
complete each tourniquet application. Once the applica- Applier answer the post-video questions that are present
tion time starts, there is no restart, so proceed to fix any on the other side of the sheet of paper available for note
problems you encounter and continue with each tourni- taking.
quet application until you complete the application or the 10) Help the Applier as needed with watching the eight indi-
Director says “Stop.” vidual tourniquet application videos in the assigned order.
14) When you have completed the tourniquet application, Have the Applier place a check mark after each watched
take your hands off the tourniquet while saying “Done.” video on the small piece of paper with the order list. Make
15) If the Director says “Stop,” stop your application efforts, sure the Applier knows he/she can use pause and can re-
and take your hands off the tourniquet. watch any portion of any of the videos so long as he/she
16) Do not talk to the Recipient. stays in sequence order (in other words, once the Applier
17) Once you have said “Done,” you are done interacting has moved to the next video, the Applier can’t go back).
with that tourniquet during that application. 11) When the Applier has finished watching all eight indi-
18) After you have said “Done,” the Releaser will release and vidual tourniquet application videos, take the Applier to
remove the tourniquet from the Recipient’s leg and will the tourniquets application room. Also take the notes/
place the next tourniquet for your use. questions/answers sheet and the order of videos to watch
19) The Releaser will also address any audible Doppler pulse small piece of paper to the tourniquets application room.
issues and any Recipient leg position issues between re- 12) Clean the Applier training station in the research training
leasing and removing one tourniquet and allowing the room.
next tourniquet application.

28 | JSOM Volume 23, Edition 4 / Winter 2023