Page 113 - Orthopedic Casts and Splints2

APPLY A LONG ARM CYLINDER CAST ( LACC )
081-834-0018
Conditions: Given an orthopaedic patient requiring a Long Arm Cylinder Cast (LACC), in supine or sitting
position on a orthopaedic examination bed , family member, nursing personnel, physician, physician's
verbal or written order, patient's medical record, or Standard Form 513 (consultation form), work
cart/station, sink, roll of (2, 3, or 4inch )stockinette, stockinette container, (2) rolls of 2 inch webril(cast
padding) (3) roll of 3 inch webril(cast padding), (3) rolls of 3 inch plaster ,(3) rolls of 4 inch plaster, box of
4 x 15 plaster reinforcement sheets, box of 5 x 30 plaster reinforcement sheets, (2) rolls of 2 or 3 inch
fiberglass, (2) rolls of 4 inch fiberglass , fiberglass casting gloves, examination gloves ,scissors, (3)
hospital pads ( chux ) (2) bed sheets, goniometer, ruler, tape measure, bucket of tepid water with plastic
bag, sink, tube of surgical lubricant , orthopaedic bump, box of alcohol pads, damp wash cloth or towel,
pillow, finger trap set, T (turnstile)stand, cast care booklet or equivalent, pen, thermometer, sling, and
trash receptacle.

Standards: Is reached when the elbow is immobilized and flexed at a 90 degree angle by the cast from
1 inch proximal to the ulnar styloid to 2 inches distal to the axilla region. Pronation and supination are
eliminated from the forearm. The cast restricts rotation of the forearm and elbow, with free range of
motion for the hand and fingers. Capillary refill test is administered to the fingers and passed
successfully.

Performance Steps

1. Receive the order from the physician( review if in writing)
2. Identify yourself to the patient.
NOTE: Tell the patient your name and job title.
3. Explain the procedure to the patient.

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