Nurses on a surgical unit fail to perform proper log roll and spinal precautions for a C1 fracture patient, ignoring the ED nurse's coordination and safe technique, risking patient safety.

Workarounds Described

• Nurses ignore the count and do their own uncoordinated roll
• Nurses fail to cross arms during log roll
• Nurses pull patient with linen and then let go and grab him

Implied Software Gaps

• A mobile app that provides a standardized count and prompts proper technique in real-time
• A system for cross-departmental training verification on spinal precautions
• A tool for incident reporting that actually triggers corrective action and follow-up training

SpineSafe Roll

SpineSafe Roll is a mobile training and compliance app that uses augmented reality and step-by-step prompts to guide healthcare staff through proper spinal immobilization and log rolling procedures. It reinforces trained protocols with real-time checklists and video validation, reducing risk of improper technique. Unlike static training or incident reports, SpineSafe ensures every roll is done correctly, every time.

Existing Solutions Mentioned