Page 128 - Orthopedic Casts and Splints2

Performance Steps

27. Administer a crutch ambulation treatment.(See Task Number 081-836-0041)
28. Give patient verbal and written instructions on cast care.
a. Instruct 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 number. 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 keep leg elevated and flex and extend foot and toes to increase circulation
in the foot.
d. Instruct patient not to stick anything down the cast, do not remove the cast, and do not alter
the cast ( e. g. writing or coloring the cast).
e. Instruct patient to use crutches and not to place any pressure on the cast for 24-48 hrs.
29. Annotate the procedure applied to patient in medical record or SF 513.
NOTE: Record the procedure applied and cast care instruction provided to the patient in patient's
medical record or Standard Form 513 and sign your name.

30. Escort patient or 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 patient. —— ——

3. Explained the procedure to the patient. —— ——
4. Inspect injured leg/ankle with patient supine on the examination bed. —— ——

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

7. Assembled materials. —— ——
8. Prepare medial/lateral plaster reinforcement splints . —— ——

9. Applied skin adherent to injured leg. —— ——
10. Measured patient's injured knee w/ goniometer. —— ——
11. Applied cast padding (webril). —— ——

12. Prepared casting materials. —— ——
13. Placed fiberglass casting gloves on hands. —— ——

14. Opened fiberglass casting package and go to step 15 —— ——
15. Applied 1st plaster/fiberglass roll. —— ——
16. Laminated the casting materials. —— ——

17. Applied plaster splints to medial and lateral aspect of cast. —— ——
18. Applied 2nd plaster/fiberglass roll. —— ——

19. Molded the cast material to the leg. —— ——
20. Checked range of motion ( ROM ) of ankle. —— ——

125