Page 12 - Orthopedic Casts and Splints2

LONG ARM HANGING CAST (LAHC)
081-834-0002
Conditions: Given an orthopaedic patient requiring a Long Arm Hanging Cast (LAHC), in supine or sitting
position on an orthopaedic examination bed or /chair , family member, nursing personnel, physician,
physician's verbal or written orders, patient's medical record, or Standard Form 513, work cart/station,
roll of 2 or 3 inch stockinette, roll of 3 or 4 inch stockinette, stockinette container, (3) rolls of 2 or 3 inch
webril , (2) rolls of 4 inch webril, (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 inch fiberglass (3) rolls
of 3 inch fiberglass, fiberglass casting gloves, examination gloves, cast saw, cast spreader, (2)
disposable foam ear plugs, (2) safety goggles for patient and technician, scissors, hospital pad( chux), (2)
bed sheets, goniometer, ruler, bucket of tepid water w/ bag, sink, spool of traction cord, tube of surgical
lubricant , orthopaedic bump, roll of 2 inch adhesive tape, box of alcohol pads, damp wash towel, pillow,
finger trap set with stand, 5 inch orthopaedic felt , (2) 8 x 7 inch surgipads, weight carrier, (2) 5lb weight
plates, tape measure, cast care booklet, or equivalent, pen, and trash receptacle.

Standards: Is reached when the wrist (0-15 degrees of dorsal extension) and elbow ( flexed at a 90
degree angle) are immobilized by the cast from the distal palmar crease (DPC )/metacarpophalangeal
joints( MCPJ's) to 2 inches distal to the axilla region. Ulnar, radial deviation, pronation and supination
are eliminated from the wrist and forearm. The cast eliminates rotation of the wrist, forearm and elbow
and allows free range of motion for the thumb and fingers. Capillary refill test is administered to the
fingers/thumb and passed successfully.

Performance Steps
1. Receive the order from the physician (review if in writing).

2. Identify yourself to patient.
NOTE: Tell the patient your name and job title
3. Explain the procedure to the patient.

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