What should a nurse assess before applying a c-collar to a trauma patient?

Assessing the patient’s ability to respond to questions is crucial prior to applying a cervical collar (c-collar) in trauma patients. This evaluation provides vital information regarding the patient's neurological status and cognitive function. A patient's responsiveness can help determine whether they are experiencing potential head or spinal injuries, which are critical to identify before stabilizing the cervical spine.

Additionally, knowing the patient's ability to respond assists healthcare providers in gauging the severity of the injury and makes it easier to communicate necessary interventions. If the patient is unable to respond, it may indicate an altered level of consciousness, which requires immediate attention and could affect how the nurse proceeds with stabilizing the patient.

While assessing pupils, checking for medical alert bracelets, and evaluating the level of consciousness are also important, the immediate response capability directly informs the urgency and method of subsequent care, making it a priority during the initial assessment.