Which action is NOT recommended when using a tourniquet?

Adjusting a tourniquet after placement is not recommended because once it is applied, the primary goal is to maintain complete occlusion of blood flow to the extremity to control severe hemorrhaging. Moving or adjusting the tourniquet could potentially compromise its effectiveness, leading to renewed bleeding and an increased risk of complications for the patient.

On the other hand, placing the tourniquet proximal to the injury ensures that blood flow beyond the injury site is effectively restricted, which is crucial for controlling hemorrhage. Securing the tourniquet tightly is essential for achieving the desired pressure to occlude the arteries and prevent blood loss. Documenting the time of application is critical for ongoing medical care, as it informs healthcare providers about how long the tourniquet has been in place, which is important for monitoring potential tissue viability and planning further interventions.