Which statement is NOT part of the documented criteria for tourniquet replacement?

• A. Annotate time
• B. Slow release over 1 minute
• C. Place replacement 2-3 inches above the original site
• D. Immediately remove the original and discard

Answer: (D)

Replacing a tourniquet follows a clear set of steps to keep bleeding controlled while protecting the limb. The documented criteria require annotating the placement time, placing a new tourniquet 2–3 inches above the original site, and slowly releasing the old tourniquet over about one minute to reassess whether bleeding remains controlled. The statement about immediately removing the original and discarding it is not part of those criteria. In practice, you don’t remove the old device first; you secure a replacement before taking the old one off, ensuring continuous control of hemorrhage, and you don’t discard the old device as part of the replacement steps.