Page 119 - Orthopedic Casts and Splints2

Performance Steps
a. Instruct the patient to call the cast clinic should they have any concerns or questions
regarding their cast. Provide patient with a copy of the clinic hours and telephone numb.
After duty hours instruct patient to report to the Emergency Room.
b. Present patient with cast care booklet ( or written instruction)
c. Instruct patient to extend, flex, and wiggle fingers ( demonstrate for patient) to reduce
swelling.
d. Instruct patient not to stick anything down the cast, do not remove the cast, and do not alter
the cast ( e. g. writing on it, coloring )
32. Fit sling as needed.
NOTE: Consideration for applying a sling include elderly patient's, severity of fractures (e.g. colles',
smith's, bennett's), patient's comfort, physician's or technician's preference.
33. Annotate the procedure.
NOTE: Record the procedure applied and cast care instruction provided to patient in medical record or
Standard Form 513 and sign your name.

34. Escort patient or direct family member to front desk to make a follow-up appointment.
Performance Measures GO NO GO

1. Received the order from the physician ( reviewed if in writing). —— ——
2. Identified yourself to the patient. —— ——

3. Explained the procedure to the patient. —— ——
4. Inspected patient's arms. —— ——

5. Checked patient's capillary refill. —— ——
6. Gathered equipment. —— ——

7. Assembled materials. —— ——
8. Prepared stockinette. —— ——
9. Prepared plaster reinforcement splint for the posterior aspect of cast. —— ——

10. Applied stockinette to patient's injured arm. —— ——
11. Applied finger traps on patient's injured hand ( if not used go to step 12) —— ——

12. Measured patient's injured wrist with goniometer. —— ——
13. Measured patient's injured elbow with goniometer. —— ——

14. Applied cast padding (webril) to patient's injured arm. —— ——
15. Prepared casting materials. —— ——

16. Placed fiberglass casting gloves on hands. —— ——
17. Opened fiberglass casting package. —— ——
18. Applied 1st plaster/fiberglass roll. —— ——

19. Laminated the cast. —— ——
20. Applied posterior reinforcement splint. —— ——

21. Applied 2nd plaster/fiberglass roll. —— ——
116