Page 121 - Orthopedic Casts and Splints2

APPLY A LONG LEG CYLINDER CAST (LLCC )
081-834-0019
Conditions: Given an orthopaedic patient requiring a Long Leg Cylinder Cast (LLCC ) supine on a
orthopaedic examination bed, nursing personnel, family member, physician, physician's verbal or written
order, patient's medical record, or Standard Form 513(consultation form), pen , work cart/station, (4)
rolls of 6 inch plaster , (4) rolls of 4 inch plaster, (2) rolls of 5 inch ortho flex, box of 5 x 30 inch plaster
reinforcement sheets, (5) rolls of 4 or 5 inch fiberglass, (2) rolls of 3 inch webril, (3) rolls of 4 inch
webril, (3) rolls of 6 inch webril, roll of (3,4 or 6 inch ) stockinette, stockinette container, fiberglass casting
gloves, examination gloves, scissors, cast saw, cast spreader, adhesive applicators(tincture of benzoin or
mastisol), (2) safety goggles, (3) packages of disposable foam ear plugs, roll of 2 inch adhesive tape,
(3) hospital pads(chux),(2) bed sheets, pillow, (2) disposable paper shorts, goniometer, ruler, tape
measure, bucket of tepid water w/ plastic bag, thermometer, support bar, cast care booklet or
equivalent, box of alcohol pads,damp wash cloth or towel, sink w/ faucet, tube of surgical lubricant ,
orthopaedic bump, thigh holder, support bar and trash receptacle.

Standards: Is reached when the injured leg is immobilized by the cast 3 inches proximal to the medial
malleolus to 4 inches distal to the groin( on the medial side ), and flared 2 inches proximal to the greater
trochanter on the lateral side. The knee is flexed between 0-15 degrees. The ankle and toes have full
range of motion. Capillary refill test is administrated to the toes 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 title.
3. Explain the procedure to the patient.

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