Page 130 - Orthopedic Casts and Splints2

APPLY A SHORT LEG CAST
081-834-0020
Conditions: Given an orthopaedic patient requiring a Short Leg Cast ( SLC) sitting or 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, (3) rolls
of 6 inch plaster , (5) rolls of 4 inch plaster, box of 5 x 30 inch plaster reinforcement sheets, (4) rolls of 4
or 5 inch fiberglass, (2) rolls of 4 inch webril, (2) rolls of 3inch webril, roll of 3 or 4 inch stockinette,
stockinette container, fiberglass casting gloves, examination gloves, scissors, cast saw, cast spreader, (2)
safety goggles, (2) packages of disposable foam ear plugs, roll of 2 inch adhesive tape, (2) hospital
pads(chux), (2) bed sheets, pillow, disposable paper shorts or hospital scrubs, 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, T(Turnstile) stand, thigh holder, 1 pr of crutches, cast shoe and trash receptacle.

Standards: Is reached when the injured leg and ankle are immobilized by the cast from the web spacing
of the toes to 3 inches distal to the popliteal space ( bend of the knee). The ankle is in neutral position(
90 degrees of dorsiflexion) absent of inversion or eversion with toes having 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 job title.
3. Explain the procedure to the patient.

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