Page 112 - Orthopedic Casts and Splints2

Performance Measures GO NO GO

28. Applied plaster reinforcement splint . —— ——
29. Applied 4th plaster/fiberglass roll. —— ——
30. Molded the cast material to the upper leg. —— ——

31. Molded the cast material to the femoral condyles. —— ——
32. Checked cast dimensions. —— ——

33. Applied 5th roll of plaster/fiberglass ( repeat step 39). —— ——
34. Checked patient's capillary refill. —— ——

35. Cleaned plaster resin off patient's skin using a damp wash cloth, towel or alcohol —— ——
pad.
36. Applied a cast shoe. —— ——

37. Administered a crutch ambulation treatment( see task number 081-836-0041) —— ——
38. Gave patient verbal and written instructions on cast care. —— ——

39. Annotated the procedure applied to patient in medical record or SF 513. —— ——
40. Escorted patient to front desk to make a follow up appointment. —— ——

Evaluation Guidance: Score the orthopaedic technician a GO on the task, if all steps are passed (P).
Score the orthopaedic technician a NO-GO( NG ) if any step is failed (F). All performance measures must
be passed to receive a go.

References
Required Related
0812110-0765
0-8151-0910-5
0-8342-0763-X
38709590
BLAUVELT, CAROLYN T.
STP 8-91H14-SM-TG
THROUGH SELF-INSTRUCTUION
TM 6-840
TM 8-231

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