During a transfer, which precaution is appropriate for a patient with a neck immobilization device?

• A. Flex the neck to facilitate alignment.
• B. Rotate the neck during transfer.
• C. Keep the device aligned and coordinate with the medical team.
• D. Remove the immobilization device before transfer.

Answer: (C)

Maintaining cervical spine alignment during a transfer is essential when a neck immobilization device is in place. The device is used to prevent movement that could worsen a spinal injury, so the head, neck, and spine should move together as a unit without altering alignment. Any flexion, rotation, or extension during transfer can disrupt the immobilization and risk injury to the spinal cord or surrounding tissues. Removing the device is not appropriate unless specifically directed by the medical team, because that would leave the neck unprotected. If adjustments are needed, coordinate with the medical team to ensure the device stays aligned and the transfer is performed safely.