Page 132 - Orthopedic Casts and Splints2

Performance Steps

4a
Inspect patient's injured leg with examination gloves on

CAUTION: Always practice Body Substance Isolation (BSI) prior to applying traction, splints or casts
to patients.(Refer to Figure 3-x).
b. Remove patient's shoes and socks from both feet. Roll pants up above the knee.
NOTE: If patient is unable to get pant leg easily above knee, provide patient with paper shorts or
hospital scrubs. If unavailable, cut the pants at the seam.
c. Place patient in supine position on the examination bed.
d. Check patient's injured leg for any skin conditions ( e. g. cuts, abrasions, lacerations and skin
rashes ).
NOTE: Inform physician if conditions are present and follow physician's order.
e. Examine both legs for jewelry and remove if found.
NOTE: All jewelry must be removed. Give jewelry to family member or secure with patient's belongings
in NCOIC office
5. Check patient's capillary refill.
a. Squeeze patient's toes and nail beds will turn white .
b. Release patient's toes and nail beds will return pink.
CAUTION: If capillary refill is delayed for more than 2 seconds inform physician and follow physician's
instruction.

6. Gather equipment to include cast saw, cast spreader, hearing protection, goggles, T stand, thigh
holder, support bar, orthopaedic bump, goniometer, scissors, thermometer and bucket of tepid
water w/ plastic bag. Place on work cart or station.

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