Page 120 - Orthopedic Casts and Splints2

Performance Measures GO NO GO

22. Measured injured elbow w/ goniometer. —— ——
23. Molded the cast material to the forearm. —— ——
24. Molded the cast material to upper arm. —— ——

25. Checked range of motion of wrist, phalanges and thumb. —— ——
26. Applied 3rd and 4th plaster/fiberglass roll( repeat steps18-19 ) —— ——

27. Trimmed proximal and distal edges of cast to fit patient. —— ——
28. Checked cast dimensions. —— ——

29. Applied 5th roll of plaster/fiberglass. —— ——
30. Checked patient's capillary refill. —— ——

31. Cleaned plaster resin off patient's skin using a damp wash cloth, towel or alcohol —— ——
pad.
32. Gave patient verbal and written instructions on cast care. —— ——

33. Fitted sling as needed. —— ——
34. Annotated the procedure in patient's medical record or SF 513. —— ——

35. 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
0-443-04809-6
0812110-0765
0-8151-0910-5
0-8342-0763-X
38709590
STP 8-91H14-SM-TG
TM 8-231
TM 8-640

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